Hloov pauv ntawm qhov ncauj kab noj hniav nrog ntshav qab zib

Qhov ncaj qha kiag ntawm qhov mob hnyav hloov kho ntawm lub qhov ncauj mucosa ntawm cov mob ntshav qab zib mellitus, lub sijhawm nws txoj kev loj hlob thiab tus neeg mob lub hnub nyoog yog tus yam ntxwv. Cov neeg mob ntshav qab zib muaj hyposalivation thiab lub qhov ncauj qhuav, uas yog ib qho ntawm cov tsos mob thaum ntxov thiab tseem ceeb ntawm ntshav qab zib. Cov tawv nqaij qhuav thiab cov leeg ua xoos yog tshwm sim los ntawm lub cev qhuav dej ntawm cov hlwb vim muaj ntau osmolarity ntawm cov ntshav ntshav. Atrophic cov txheej txheem tsim nyob rau hauv cov qog ua kua thiab qaub ncaug tiv thaiv keeb kwm ntawm microangiopathies thiab qhov tshwm sim thawj ntawm cov nyhuv catabolic hauv lub cev (insulin yog anabolic hormone). Vim tias atrophic hloov pauv hauv cov qog ua kua qaub ncaug - hyposalivation. Pseudoparotitis nyob rau hauv cov ntshav qab zib tshwm sim hauv 81% ntawm cov neeg mob, thaum muaj qhov nce ntawm submandibular thiab parotid salivary qog. Lub qhov ncauj ntawm qhov ncauj yog hyperemic, ci, yuag. Tus nplaig, raws li txoj cai, yog them nrog ib txheej xim dawb, ntxhib, zoo li yog tawg, nrog foci ntawm desquamation nyob rau hauv daim ntawv ntawm daim duab qhia thaj chaw, qee zaum nrog thaj ua rau mob hyperkeratosis, txawm hais tias qee zaum muaj liab atrophic, "varnished". Cov tshuaj hnoos qeev thiab mob ntshav qab zib mob ntshav qab zib nrog txoj kev mob: glossalgia, paresthesia, mob siab ntxiv ntawm caj dab ntawm cov hniav (kis ntawm caj dab ntawm cov hniav tawm tsam keeb kwm ntawm atrophy ntawm mucosa). Hyposalivation ua ke nrog txo qis ntawm kev tsim cov qaub ncaug cov protein - yam tsis muaj kev tiv thaiv tsis muaj zog tiv thaiv kab mob ntxiv rau kev ua tsis tau zoo ntawm cov hnoos qeev ua rau muaj ntau yam teeb meem sib kis. Ntau cov zauv feem ntau ntawm microflora ua rau muaj cov suab thaj hauv cov qaub ncaug. Nyob hauv cov xwm txheej ntawm kev tshaib plab ntawm lub zog, kev ua haujlwm ntawm phagocytes, ntxiv rau tag nrho lwm yam kev tiv thaiv thiab tsis muaj kab mob hauv lub cev, yog qhov nyuaj. Yog li, kev kis mob hauv lub qhov ncauj kab mob tau yooj yim tsim: catarrhal gingivitis thiab stomatitis nyob rau hauv cov ntshav qab zib mellitus tshwm sim hauv 40.7% ntawm cov neeg mob. Kev tshwm sim ntawm cov mob gingivitis - hyperemia, edema, zoo li lub ntsej muag ntawm lub gingival papillae, muaj ib qho nyiam cov pos hniav necrosis. Cov neeg mob ntshav qab zib yog yam ntxwv ntawm kev loj hlob los ntawm tus mob mus ntev, nrog rau cov hniav mus tau zoo. Qhov no yog vim muaj qhov ua txhaum ntawm kev tsim cov tshuaj mucopolysaccharides - ib qho tseem ceeb ntawm cov pob txha pob txha thiab cov hniav thiab cov protein ntawm cov khoom siv ligamentous ntawm periodontium. Cov teeb meem ntawm osteosynthesis tseem yog los ntawm lub zog ntawm osteoblasts. Ntawm orthopantomogram, hom sib xyaw ntawm kev rhuav tshem cov pob txha pob txha raug txiav txim siab nrog kev cia siab ntawm cov hom ntsug ntawm kev puas tsuaj dua ntawm kab rov tav, txoj kev zoo nkauj thiab zoo li lub pob txha pob txha. Thaum kuaj xyuas cov hniav, ib qho tuaj yeem nco ntsoov nce ntxiv ntawm cov hniav puas, ua txhaum ntau ntawm cov ntaub so ntswg ntawm cov hniav - hypoplasia, cov neeg mob yws ntawm kev sib nkag siab ntau ntxiv rau cov zaub mov txias thiab cov zaub mov kub, tom qab ntawd cov pos hniav los ntshav, tso ntawm cov hniav, ua pa tsw phem ntxiv. Cov ntxhiab los ntawm qhov ncauj yog tshwm sim los ntawm kev ua ntawm microflora hauv lub qhov ncauj kab noj hniav thiab kev sib txuam ntawm ketone lub cev (beta-hydroxybutyric acid, acetoacetic acid, acetone, tsis hnov tsw ntawm acetone) hauv lub cev ntawm cov neeg mob ntshav qab zib mellitus.

Kev mob rau sab hauv los ntawm prostheses yog qhov ua tau. Atrophic mucous daim nyias nyias tau yooj yim raug mob, ua tsis zoo rov ua dua tshiab. Cov kab mob ntsws ua paug tsis yog qhov tsis tshua muaj tshwm sim: kev mob siab ua paug, mob voos thiab mob voos mob voos, siab tawv, ua rau tus mob txhaws rau qhov ncauj ntawm tus nplaig, atrophy ntawm filiform papillae. Angular fungal cheilitis (mob mycotic qaug dab peg), qhia los ntawm daim tawv nyias liab ntawm daim di ncauj thiab khaus hyperemia ntawm thaj chaw Klein, nyob rau hauv cov ces kaum ntawm lub qhov ncauj yog infiltrated, tsis zoo kho cov kab nrib pleb. Hauv cov neeg mob kev txom nyem los ntawm daim ntawv decompensated mob ntshav qab zib, txoj kev txhim kho ntawm pob txha caj dab mob ntawm lub caj pas ua paug tau. Nyob ib puag ncig los ntawm qhov mob txhab, lub qog ua kua xoos tsis hloov, hauv thaj tsam ntawm lub rwj hauv qab muaj txeem, kho kom zoo sai thiab ntev.

Hnub Tim Ntxiv: 2015-06-25, Views: 1991, Txwv Txoj Cai? ,

Koj qhov kev xav tseem ceeb rau peb! Puas yog cov khoom siv luam tawm puas pab tau zoo? Yog | Tsis yog

Cov kab mob hauv lub qhov ncauj mob ntshav qab zib

Feem ntau, kev nthuav qhia cov ntshav qab zib hauv qhov ncauj tawm ntawm cov kab mob ua rau thawj cov tsos mob ntawm tus mob hnyav no. Yog li, cov neeg muaj lub siab xav ua kom cov ntshav qab zib yuav tsum ua tib zoo saib xyuas txhua yam kev hloov pauv ntawm cov hniav thiab pos hniav.

Kev kuaj tus kheej tsis tu ncua yuav pab kuaj ntshav qab zib thaum ntxov thiab pib kho mob kom raws sij hawm, tiv thaiv kev txhim kho ntawm cov kev mob hnyav dua, xws li kev puas tsuaj rau cov hlab plawv thiab cov hlab ntsha, cov kab mob ntawm lub zeem muag thiab qis dua.

Kev puas tsuaj rau lub qhov ncauj kab mob hauv ntshav qab zib tshwm sim los ntawm kev ua txhaum loj hauv lub cev. Yog li, nrog cov ntshav qab zib, qhov nqus ntawm cov zaub mov muaj txiaj ntsig thiab cov ntshav ntxiv rau cov pos hniav yog qhov tsis muaj zog, uas txwv tsis pub cov calcium uas tsim nyog los ntawm kev ncav cuag cov hniav thiab ua rau txha hniav laus txhaws thiab ntau dua puas.

Tsis tas li ntawd, muaj ntshav qab zib, cov ntshav qab zib nce tsis tsuas yog hauv cov ntshav, tab sis kuj ua rau cov qaub ncaug, uas ua rau cov kev tawm tsam ntawm cov kab mob pathogenic thiab ua rau muaj kev cuam tshuam loj heev hauv cov kab noj ntawm qhov ncauj. Ib qho cim txo ntawm cov qaub ncaug tsuas yog ua kom nws txoj kev cuam tshuam tsis zoo.

Mob ntshav qab zib, cov kab mob hauv qab no ntawm lub qhov ncauj tawm tuaj yeem tsim:

Hlwb sij hawm
mob plab
caries
fungal kis
lichen planus.

Hlwb sij hawm

Cov kab mob pheej tshwm sim los ntawm qhov kev loj hlob ntawm tartar ntawm cov hniav, uas ua rau mob hnyav ntawm cov pos hniav thiab ua rau cov pob txha puas tsuaj. Cov laj thawj tseem ceeb ua ntu zus rau cov ntshav qab zib mellitus yog cov mob hauv cov pos hniav thiab cov zaub mov tsis zoo. Tsis tas li, txoj kev loj hlob ntawm tus kab mob no tuaj yeem cuam tshuam los ntawm kev tu lub qhov ncauj tsis zoo.

Qhov tseeb yog tias tartar muaj cov zaub mov khib nyiab thiab cov kab mob pov tseg cov khoom. Nrog txhuam tsis tshua muaj lossis tsis txaus, txhuam hniav ua rau tawv tawv thiab nce hauv qhov loj me, muaj cov ntsiab lus tsis zoo ntawm cov pos hniav. Raws li qhov tshwm sim, cov nqaij mos ua kom kub taub hau, o, thiab pib los ntshav.

Ntev zus, cov kab mob pos hniav ua rau muaj zog ntxiv thiab hla mus rau hauv chav ua kom lub zog, uas ua rau cov pob txha rhuav tshem. Raws li qhov no, cov pos hniav maj mam poob los, pib ua ntej lub caj dab, thiab tom qab ntawd cov hauv paus hniav ntawm cov hniav. Qhov no ua rau qhov tseeb tias cov hniav pib lo tau thiab tuaj yeem txawm tawm ntawm lub qhov hniav.

Liab thiab o ntawm cov pos hniav,
Muaj cov pos hniav los ntshav ntau,
Ntxiv dag zog rau qhov rhiab ntawm cov hniav kom kub, txias thiab qaub,
Ua pa tsw phem
Cov tsw phem hauv lub qhov ncauj
Purulent tawm los ntawm cov pos hniav,
Hloov hauv qhov saj
Cov hniav pom ntev dua li ua ntej. Hauv cov theem tom qab, lawv cov hauv paus pom tau pom,
Cov chaw loj tshwm nyob nruab nrab ntawm cov hniav.

Tshwj xeeb feem ntau, cov neeg mob pom tus kab mob tsis txaus uas them rau cov ntshav qab zib tsis txaus. Txhawm rau tiv thaiv txoj kev loj hlob ntawm tus kab mob no, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas cov qib ntawm cov piam thaj kom zoo li qub thiab sim ua kom nws nyob ze npaum li qub. Ntawm thawj cov tsos mob ntawm tus mob, koj yuav tsum tau sab laj nrog tus kws kho hniav sai.

Stomatitis yog ib qho mob ua paug ntawm lub qhov ncauj kab mob uas tuaj yeem cuam tshuam cov pos hniav, tus nplaig, sab hauv sab plhu, daim di ncauj, thiab tawv nqaij. Nrog stomatitis nyob rau hauv tus neeg mob uas mob ntshav qab zib, hlwv, mob tawm los sis yaig ntawm daim tawv nqaij ntawm lub qhov ncauj. Thaum tus kab mob zuj zus ntxiv, tus neeg yuav hnov mob hnyav uas ua rau nws tsis txhob noj mov, haus dej, hais lus, thiab pw tsaug zog.

Cov tsos ntawm stomatitis nyob rau hauv cov neeg mob ntshav qab zib yog vim qhov kev txo qis hauv kev tiv thaiv hauv zos, vim tias txawm tias kev puas tsuaj me ntsis rau lub qhov ncauj mucosa tuaj yeem ua rau qhov tsim ntawm qhov mob lossis voos. Stomatitis hauv ntshav qab zib feem ntau yog kis tau thiab tuaj yeem tshwm sim los ntawm cov kab mob, kab mob pathogenic lossis fungi.

Stomatitis hauv cov ntshav qab zib kuj tuaj yeem tshwm sim los ntawm kev raug mob thiab raug mob. Piv txwv li, tus neeg mob tuaj yeem tsoo nws tus nplaig los yog khawb nws cov pos hniav nrog lub khob cij qhuav. Hauv cov neeg muaj kev noj qab haus huv, qhov kev raug mob zoo tuaj yeem kho sai, tab sis nyob rau hauv cov neeg mob ntshav qab zib lawv feem ntau tau mob thiab nce ntxiv hauv qhov loj me, ntes cov nqaij ze tshaj plaws.

Raws li txoj cai, stomatitis, txawm tias tsis muaj kev kho mob tshwj xeeb, ploj tom qab 14 hnub. Tab sis kev kho kom rov zoo tuaj yeem ua kom nrawm dua los ntawm kev tshawb pom qhov ua rau pom ntawm cov tsos mob hauv lub qhov ncauj tawm thiab tshem tawm nws. Piv txwv li, yog tias stomatitis tau tsim vim muaj kev puas tsuaj rau cov nqaij mos ntawm lub qhov ncauj nrog lub ntsej muag tsis sib luag ntawm cov hniav lossis qhov ua tiav ntawm qhov ua kom tiav, tom qab ntawd rau kev rov qab los koj yuav tsum mus ntsib kws kho hniav thiab tshem tawm qhov tshwm sim.

Ntxiv rau, thaum mob plab, tus neeg mob yuav tsum tsis txhob noj cov zaub mov uas ntsim dhau, kub, ntsim thiab qab ntsev, nrog rau ua kom tawg thiab lwm yam zaub mov uas tuaj yeem ua rau puas qhov hnoos qeev ntawm lub qhov ncauj.

Tsis tas li ntawd, nws yog txwv tsis pub noj cov txiv qaub, qaub txiv thiab txiv hmab txiv ntoo.

Raws li tau sau tseg saum toj no, hauv cov neeg muaj ntshav qab zib, qaub ncaug muaj cov piam thaj ntau, uas cuam tshuam tsis zoo rau kev kho hniav. Cov piam thaj siab ua rau muaj txiaj ntsig zoo rau kev ua tub rog ntawm cov kab mob, uas ua rau kom cov hniav puas tsuaj.

Cov kab mob tsis tshua muaj siab noj cov piam thaj, nrog rau ib qho uas yaj thaum qaub ncaug. Tib lub sijhawm, cov kab mob zais cov khoom lag luam metabolic, uas muaj cov kua qaub ntau - butyric, lactic thiab formic. Cov kua qaub no ua rau kom cov kaus hniav puas, uas ua rau khaus thiab ua rau kom muaj kab noj hniav.

Nyob rau hauv lub neej yav tom ntej, kev puas tsuaj los ntawm txha hniav laus kis mus rau lwm cov ntaub so ntswg ntawm tus hniav, uas thaum kawg ua rau nws ua tiav kev rhuav tshem. Kho cov caries tsis txaus tuaj yeem ua rau mob hnyav ntxiv, feem ntau ntawm kev mob ntsws yog mob thiab mob qog nqaij.

Cov kab mob no nrog cov mob ntawm cov pos hniav mob hnyav thiab mob hnyav, thiab tau kho tsuas yog los ntawm kev phais mob xwb, thiab qee zaum kuj tshem tawm cov hniav.

Tus mob Candidiasis lossis thiav ntshav yog mob rau hauv lub qhov ncauj tshwm sim los ntawm Candida Albicans poov xab. Feem ntau, qhov ncauj ntawm lub qhov ncauj cuam tshuam rau cov menyuam mos thiab tsuas yog tsis tshua pom muaj rau cov neeg laus.

Tab sis cov kev hloov pauv ntawm qhov ncauj kab noj hniav uas tshwm sim rau txhua tus neeg mob ntshav qab zib ua rau lawv tsis tshua muaj mob rau tus kab mob no. Xws li kev nthuav dav dav ntawm cov neeg mob ntshav qab zib tau cuam tshuam tam sim ntawd los ntawm ntau yam - qhov no yog qhov ua kom lub cev tsis muaj zog tiv thaiv kab mob, nce ntxiv ntawm cov ntshav qabzib hauv cov qaub ncaug, qhov txo qis hauv cov qaub ncaug thiab lub qhov ncauj qhuav hauv ntshav qab zib.

Tus mob Candidiasis ntawm lub qhov ncauj yog tus yam ntxwv ntawm lub ntsej muag ua paug ntawm lub puab tsaig, tus nplaig thiab daim di ncauj ntawm cov nplej dawb, uas tom qab tau loj hlob tuaj thiab sib koom ua ke hauv ib txheej xim dawb. Nyob rau tib lub sijhawm, cov ntaub so ntswg ntawm lub qhov ncauj tig liab thiab ua rau muaj kuab heev, uas ua rau mob hnyav.

Thaum muaj mob hnyav, cov kab mob hu ua fungi tseem tuaj yeem cuam tshuam rau lub palate, pos hniav thiab tonsils, uas tuaj yeem ua rau tus neeg mob hais lus tsis yooj yim, noj mov, haus dej thiab txawm tias nqos qaub ncaug. Feem ntau tus kab mob tuaj yeem txuas ntxiv mus thiab cuam tshuam cov ntaub so ntswg ntawm lub ntsej muag, ua rau mob hnyav thiab hnov tus mob ua mob qa.

Thaum pib ntawm tus kab mob, txheej hniav dawb tau yooj yim tshem tawm, thiab hauv qab nws qhib ib daim npog liab pliv daim npog nrog ntau qhov mob. Lawv tsim nyob rau hauv kev cuam tshuam ntawm cov enzymes uas zais cov poov xab - pathogens. Yog li, lawv rhuav tshem cov hlwb ntawm lub qhov ncauj kab noj hniav thiab nkag mus tob rau hauv cov ntaub so ntswg mos.

Nrog mob candidiasis, tus neeg mob yuav ceeb toom nce lub cev kub thiab muaj cov tsos mob ntawm intoxication. Qhov no yog qhov tseem ceeb ntawm cov haujlwm tseem ceeb ntawm cov hu ua fungi uas lom neeg lub cev nrog lawv cov co toxins.

Candidiasis yog kho los ntawm tus kws kho hniav. Txawm li cas los xij, yog tias muaj mob fungal cuam tshuam tsis tsuas yog lub qhov ncauj ntawm lub qhov ncauj, tab sis kuj caj pas, tom qab ntawd tus neeg mob yuav tsum tau nrhiav kev pab ntawm tus kws kho mob kis tus kab mob.

Lub qhov ncauj qhov ncauj rau cov ntshav qab zib yuav tsum tau saib xyuas tshwj xeeb, txij li txawm tias muaj kev raug mob me me, cov zaub mov khib nyiab thiab cov zom hniav tuaj yeem ua rau muaj kev loj hlob ntawm cov kab mob loj. Qhov no tseem ceeb uas yuav tsum nco ntsoov rau txhua tus neeg muaj ntshav qab zib, vim tias nrog cov piam thaj hauv siab, txawm tias me ntsis ntawm cov mucous membrane yuav kho raws sijhawm.

Kev tshwm sim hauv qhov ncauj ntawm qhov mob hnyav no yuav tsum ua lub cim rau tus neeg mob txog kev mus ntsib kws kho hniav tsis teem sij hawm. Tsuas yog ua tiav kev paub txog kev mob ntshav qab zib thiab lawv cov kev kho tsim nyog yuav zam dhau lub txim hnyav.

Nws kuj tseem ceeb heev rau cov neeg mob ntshav qab zib kom nruj txog qib ntawm cov piam thaj hauv cov ntshav, vim tias nws cov ntse qab zib hauv qab zib tuaj yeem ua rau ntau txoj kev muaj ntshav qab zib, nrog rau cov kab mob ntawm lub qhov ncauj kab noj hniav.

Yuav ua li cas teeb meem ntawm cov hniav tuaj yeem tshwm sim hauv tus kws paub txog ntshav qab zib yuav qhia tus kws tshaj lij hauv cov yeeb yaj kiab hauv tsab xov xwm no.

Hloov pauv ntawm qhov ncauj kab noj hniav nrog ntshav qab zib

Ntshav qab zib yog ib yam kab mob uas pom muaj neeg mob ntshav qab zib ntau ntxiv vim muaj cov roj ntsha insulin tsis ua hauj lwm zoo los sis txhim kho cov tshuaj insulin tsis kam. Mob ntshav qab zib mellitus tuaj yeem cuam tshuam loj rau kev noj qab haus huv ntawm tus neeg mob, ua rau kev loj hlob ntawm tag nrho cov kab mob sib xyaw ua ke.

Qhov tshwj xeeb tshaj plaws hauv cov ntshav qab zib ntau hauv cov ntshav cuam tshuam cov kev mob ntawm lub qhov ncauj ntawm lub qhov ncauj, ua rau ntau yam kab mob ntawm cov hniav, cov pos hniav thiab cov qog ua kua. Yog tias koj tsis them sai sai rau qhov teeb meem no, nws tuaj yeem ua rau muaj kev puas tsuaj rau lub qhov ncauj loj thiab txawm tias hniav ploj.

Vim li no, cov kws kho mob ntshav qab zib yuav tsum ua tib zoo saib xyuas qhov ncauj huv, mus ntsib kws kho hniav tsis tu ncua, thiab saib xyuas lawv cov ntshav qab zib txhua zaus. Ntxiv rau, cov neeg mob ntshav qab zib yuav tsum paub dab tsi kab mob ntawm lub qhov ncauj kab noj hniav lawv yuav ntsib nyob rau hauv thiaj li yuav paub txog tus kab mob nyob rau lub sijhawm thiab pib kho nws.

Mob ntshav qab zib thiab qhov ncauj noj qab haus huv

Cov neeg muaj ntshav qab zib tsis zoo tswj muaj feem yuav muaj kab mob hniav thiab pos hniav ntau dua li cov neeg tsis muaj ntshav qab zib. Qhov no vim tias lawv tau txo qis kev tiv thaiv tus kab mob.

Yog tias koj muaj ntshav qab zib, koj yuav tsum tau them nyiaj tshwj xeeb rau kev tu xyuas qhov ncauj thiab tu xyuas cov hniav, nrog rau saib xyuas koj cov ntshav qab zib. Sab laj rau koj tus kws kho hniav tsis tu ncua txog kev ceev koj cov hniav thiab pos hniav kom huv.

Ntshav qab zib yog ib tus mob feem ntau ntawm tib neeg. Thawj cov tsos mob thiab cov tsos mob ntawm tus mob ntshav qab zib tuaj yeem tshwm sim hauv lub qhov ncauj ntawm lub qhov ncauj, yog li them nyiaj tshwj xeeb rau kev hloov pauv ntawm qhov ncauj qhov ncauj, qhov no tseem tuaj yeem pab ua kom ntxov thiab kho ntshav qab zib.

Cov kab mob hauv qhov ncauj feem ntau cuam tshuam rau cov neeg muaj ntshav qab zib yog: • mob ncig (mob pos hniav) • stomatitis • caries • kis mob funghen • lichen planus (mob rau daim tawv, mob ua paug rau daim tawv nqaij) • saj tsis meej

• dryness, hlawv hauv lub qhov ncauj (muaj qaub ncaug qis).

Mob ntshav qab zib thiab Periodontitis

Periodontitis (mob pos hniav) yog tshwm sim los ntawm tus mob ua kom cov pob txha nyob ib puag ncig thiab txhawb cov hniav. Cov pob txha no txhawb koj cov hniav hauv lub puab tsaig thiab tso cai rau koj zom yooj yim. Cov kab mob thiab cov zaub mov khib nyiab los ntawm cov quav hniav, yog qhov tseem ceeb ua rau pos hniav mob.

Yog tias cov quav hniav tseem nyob ntawm cov hniav thiab cov pos hniav, nws tawv tawv, sib sau nyuaj ntawm cov hniav lossis cov hniav tawv. Tartar thiab cov quav hniav ua rau cov pos hniav nyob ib ncig ntawm cov hniav kom lawv ua liab, o thiab los ntshav. Xws li cov pos hniav mob zuj zus, cov pob txha ua kom puas ntau. Cov hniav xoob thiab tuaj yeem tawm ntawm lawv tus kheej lossis yuav xav tau tshem tawm.

Cov kab mob ntawm cov pos hniav ua ntau thiab ntau dua rau cov neeg muaj ntshav qab zib tsis zoo tswj. Qhov no yog vim tias lawv zoo li muaj qis dua tiv thaiv kev kis mob thiab kho tsis zoo.

Nws yog ib qho tseem ceeb rau kev saib xyuas koj lub qhov ncauj noj qab haus huv thiab tswj koj cov ntshav qab zib kom tiv thaiv kab mob pos hniav. Nov yog ob txoj hauv kev. Kev kho cov kab mob pos hniav pab txhim kho cov ntshav qabzib hauv cov neeg muaj ntshav qab zib, thiab hauv cov neeg mob uas muaj ntshav qabzib tswj tau, cov kab mob hauv qhov ncauj tuaj yeem kho tau zoo.

Cov ntawv sau ntawm cov haujlwm scientific hauv lub ntsiab lus "Kev hloov pauv ntawm daim tawv nqaij thiab lub qhov ncauj ntawm cov ntshav qab zib mellitus thiab lawv tiv thaiv"

A.F. VERBOVOY, MD, xibfwb, L.A. SHARONOVA, Ph.D., S.A. BURAKSHAEV, Ph.D., E.V. KOTELNIKOVA, Ph.D. Samara State Medical University ntawm Ministry of Health ntawm Russia

KEV HLOOV rau daim tawv nqaij thiab MUSCULA

IN SUGAR DIABETES THIAB THE PREVENTION

Tsab xov xwm piav qhia feem ntau tshwm sim ntawm cov kab mob ntawm daim tawv nqaij thiab qhov ncauj ntawm qhov ntswg hauv cov neeg mob ntshav qab zib mellitus: cov txheej txheem ntawm lawv tshwm sim, cov hau kev tiv thaiv.

Cov ntsiab lus: mob ntshav qab zib mellitus, dermatoses, pathology ntawm lub qhov ncauj ntawm qhov ncauj thiab caries, tiv thaiv.

A.F. VEREBOVOY, MD, Prof., L.A. SHARONOVA, PhD hauv Tshuaj Kho Mob, S.A. BURAKSHAEV, PhD hauv Tshuaj, E.V. KOTELNIKOVA, PhD hauv Tshuaj

Samara State Medical University ntawm Ministry of Health ntawm Russia

Hloov pauv ntawm daim tawv thiab qhov ncauj ntawm MUCOSA HAUV DIABETES MELLITUS thiab lawv cov kev tiv thaiv tam sim no

Hauv tsab xov xwm qhov feem ntau tshwm sim kab mob los ntawm daim tawv nqaij tau piav qhia thiab mucosa ntawm lub qhov ncauj ntawm qhov ncauj ntawm cov neeg mob ntshav qab zib mellitus: cov txheej txheem ntawm lawv qhov tshwm sim, cov txheej txheem prophylaxis.

Cov ntsiab lus: mob ntshav qab zib mellitus, kab mob dermatitis, mob txeeb zig thiab mob caries, tiv thaiv.

Cov kws tshaj lij los ntawm World Diabetes Federation (IDF) kwv yees hais tias cov neeg mob ntshav qab zib yuav nce li 1.5 zaug thiab nce txog 552 lab tus neeg nyob rau xyoo 2030, thiab cov neeg ntawm cov neeg mob ntshav qab zib yuav nce mus rau 800 lab tus tib neeg. Nws yog los ntawm pab pawg no tias tus naj npawb ntawm cov neeg mob ntshav qab zib tau nce 15% nyob rau ib xyoos ib zaug. Nws yog ib qho tseem ceeb kom nco ntsoov tias rau ib tus neeg mob nrog rau kev txheeb xyuas tus kab mob no, muaj ib tus neeg mob uas tsis pom tus mob. Ntau zaus cov kab mob no tsis kuaj pom hauv lub caij nyoog rau tus txiv neej dua li poj niam 2, 3.

Thaum kuaj xyuas tus neeg mob, tus kws kho mob, suav nrog tus kws kho mob thiab tus kws kho qhov muag endocrinologist, ntsib kev tsis txaus siab thiab hloov kho pathological ntawm daim tawv nqaij thiab qhov ncauj ntawm qhov ncauj. Cov kev hloov hauv ntshav qab zib mellitus feem ntau tshwm sim hauv cov neeg mob feem ntau thiab feem ntau yog ib ntawm thawj cov tsos mob ntawm tus kab mob no. Qhov tshwm sim tuaj yeem rub tawm ntev, tshwm sim hauv cov xwm txheej thiab tawm tsam keeb kwm ntawm kev mob ntshav qab zib tsis muaj mob ntshav qab zib mellitus yog qhov nyuaj los kho.

Muab kev hloov zuj zus ntawm cov ntshav qab zib, ntau ntawm cov tsis pom ntawm cov khoom noj uas ua rau cov pluas mov carbohydrate, qhov hloov ntawm daim tawv nqaij thiab qhov ncauj ntawm qhov ncauj, uas yooj yim rau kev kuaj mob, tuaj yeem pab ua kom kuaj mob hauv tus neeg mob kom ncav sijhawm.

Tib neeg cov tawv nqaij yog lub cev ua ntau txoj thiab muaj ntau txoj hauv kev. Nws tsis ua haujlwm los ntawm nws tus kheej, tab sis tau sib txuas nrog txhua yam hauv nruab nrog cev thiab kab ke. Daim tawv nqaij yog qhov khoom siv tau yooj yim tshaj plaws rau kev tshawb nrhiav. Nws yog qhov xwm txheej thiab pom ntawm daim tawv nqaij uas feem ntau dhau los ua qhov taw qhia qee yam kev tsis txaus siab hauv lub cev, uas tuaj yeem qhia meej qhov kev kuaj mob hauv ntau cov mob sab hauv, suav nrog ntshav qab zib.

Tib neeg cov tawv nqaij muaj peb txheej: cov daim tawv nqaij (epidermis), tawv nqaij nws tus kheej, lossis dermis, thiab rog rog hauv qab, lossis hypodermis.

Cov tawv nqaij muaj cov lej ua haujlwm - tiv thaiv, thermoregulating, receptor, excretory, nqus, ua pa, hauv qab ntawm ultraviolet hluav taws xob, vitamin D3 tau tsim hauv nws.

Nrog lub hnub nyoog, cov txheej txheem ntawm daim tawv nqaij rov qab ua dua nyob rau hauv daim tawv nqaij txo qis, ua rau muaj kev cuam tshuam ntawm kev ua rau puas tsuaj (tshwj xeeb tshaj yog UV rays) nce, hws tso zis tsawg dua, thiab kev ua haujlwm ntawm cov qog sebaceous tsawg. Kev tiv thaiv kev ua haujlwm muaj kev txom nyem, poob ntawm cov vitamin D nce. Cov tawv nqaij poob nws cov hydrophilicity, lub cev qhuav dej, cov hlab ntsha ntawm daim tawv nqaij sclerosize - tag nrho cov no ua rau nws maj mam thim, poob ntawm elasticity, qhov zoo li ntawm folding thiab wrinkling ntawm epidermal nyem.

Lub pathogenesis ntawm daim tawv nqaij mob txhab ntshav qab zib yog txoj. Nws ua raws li kev ua txhaum ntawm cov metabolism hauv cov metabolism, txawm li cas los xij, lwm yam tseem ceeb muaj lub luag haujlwm tseem ceeb. Hyperglycemia ua rau ntxiv- thiab lub cev qhuav dej, qhov kev ua txhaum ntawm kev ruaj ntseg ntawm cov qog cell thiab, vim li ntawd, lub zog cov roj ntsha ua haujlwm ntawm cov tawv nqaij, sebaceous thiab hws cov qog. Cov kev hloov no ua rau muaj kev ua txhaum ntawm qhov ib txwm rov ua kom zoo ntawm cov epidermis thiab kev tsim ntawm zaj duab xis tiv thaiv rog. Pom, qhov no yog pom los ntawm lub cev qhuav, txo qis ntawm daim tawv nqaij elasticity thiab turgor, qhov zoo li tev tawm thiab hyperkeratosis hauv thaj chaw ntawm kev sib txhuam lossis siab.

Lub xub ntiag ntawm hyperinsulinemia thiab insulin tsis kam nyob rau hauv cov neeg mob ua rau muaj kev sib txuas ntau ntawm cov tshuaj insulin rau cov neeg ntawm insulin-zoo li qhov kev loj hlob 1 keratocytes thiab fibroblasts thiab, vim li ntawd, mus rau epidermal hyperplasia (hyperkeratosis). Cov txheej txheem autoimmune ua si lub luag haujlwm tseem ceeb hauv cov neeg mob uas muaj mob ntshav qab zib hom 1, thaum cov qauv ntawm daim tawv nqaij puas yog ua rau muaj zog tiv thaiv kab mob.

Hauv cov ntshav qab zib uas tsis tuaj yeem tswj hwm, qhov tsis muaj peev xwm metabolize thiab tso cov roj ntsha chylomicrons thiab cov lipoproteins uas tsis muaj ntau ntau

Qhov no tuaj yeem ua rau nce ntxiv qhov tseem ceeb hauv qib plasma triglycerides thiab kev sib txuam hauv cov tawv nqaij. Cov lipid metabolism hauv lub cev tsis zoo ua rau muaj kev txhim kho thiab nce ntxiv ntawm kev mob ntshav hauv txhua tus neeg mob ntshav qab zib mellitus.

Muab tus nqi ntawm kev kis tus kab mob ntshav qab zib, ntau ntawm cov tsis pom ntawm cov khoom noj uas ua rau cov pluas mov carbohydrate, qhov hloov pauv ntawm daim tawv nqaij, qhov ncauj ntawm qhov ncauj, uas yooj yim rau kev kuaj mob, tuaj yeem pab ua kom kuaj mob hauv tus neeg mob kom ncav sijhawm.

Ntxiv nrog rau cov laj thawj metabolic, nyob rau hauv kev tsim cov kev tsis sib haum xeeb ntawm daim tawv nqaij thiab nws qhov tshwm sim, lub luag haujlwm tseem ceeb yog ua si los ntawm kev ua txhaum ntawm lawv cov trophism vim tias muaj mob ntawm angio- thiab polyneuropathy hauv tus neeg mob ntshav qab zib mellitus. Cov ntshav qab zib cov ntshav ntau ntxiv hauv lub sijhawm ntev tuaj yeem ua rau muaj kev puas tsuaj rau cov ntshav ncig ob leeg ntawm cov hlab ntsha loj thiab cov hlab ntsha me (capillaries), uas pab xa cov as-ham rau cov tawv nqaij tawv nqaij - muab trophism. Ua ke nrog atherosclerosis ntawm cov hlab ntsha loj, cov kab mob microvascular ua rau muaj kev tsim cov ntshav qab zib kom mob. Feem ntau ntawm cov neeg mob uas muaj ntshav qab zib ntev ntev uas tsis muaj qhov ntshav qab zib muaj qhov ploj ntawm qhov tsis hnov mob hauv ob txhais ceg mus rau qhov mob, qhov kub thiab lub cev muaj txiaj ntsig, qhov kev ua txhaum ntawm qhov tsis ua haujlwm ntawm daim tawv nqaij, uas yog nyob ntawm lub puab. Qhov no ua rau kev tsim cov hyperkeratoses, kev ua txhaum ntawm daim tawv nqaij trophic, kev raug mob rau ntawm daim tawv nqaij ntawm qis qis, feem ntau tsis tuaj yeem pom tus neeg mob nws tus kheej.

Muaj ib lub tswv yim hais tias lub hauv paus ntawm kev tshem tawm ntawm daim tawv nqaij los ntawm cov hlab ntsha thiab cov hlab ntsha yog qhov tsim ntau cov dawb radicals, lub ntsiab ntawm yog superoxide. Nws cuam tshuam cov kev ua ntawm mitochondria, muab lub zog xav tau, thiab ua rau kev tuag ntawm tes. Hauv qhov xwm txheej no, superzyos dismutase enzyme ua lub luag haujlwm tiv thaiv; nws yog "ntxiab" rau superoxide. Txawm li cas los xij, nyob rau hauv cov ntshav qab zib mellitus, qhov tsim ntawm superoxide dismutase txo qis, thiab qhov no yog ib qho ntawm cov teeb meem puas tsuaj rau daim tawv nqaij.

Angio- thiab neuropathy nce kev pheej hmoo ntawm kev puas tsuaj rau daim tawv nqaij ntawm cov neeg mob ntshav qab zib, thaum kho cov txheej txheem raug cuam tshuam. Cov kev hloov pauv no, ua ke nrog cov kab mob hyperglycemia, pab txhawb rau kev ua ke ntawm ib qho kis tau tus kab mob sib kis - cov kab mob thiab cov kab mob fungal.

Tam sim no, ntau ntau hom dermatoses tau piav qhia tias ua ntej mob ntshav qab zib lossis kev tiv thaiv tiv thaiv keeb kwm ntawm tus kab mob. Muaj ntau ntau kev faib tawm ntawm daim tawv nqaij mob ntshav qab zib mellitus (DM). Lawv ua raws li cov chaw kuaj mob thiab qee qhov sib txawv ntawm cov kab mob hloov pauv ntawm daim tawv nqaij. Cov kev cais no tsis sib txawv thiab tsuas sib txuam. Yog li, raws li kev faib tawm

Khlebnikova A.N., Marycheva N.V. (2011), zwj ceeb cov tawv nqaij pathology hauv ntshav qab zib mellitus tau muab faib ua tsib pawg loj:

1) cov tshuaj tiv thaiv kabmob ntshav qab zib ua rau muaj ntshav qab zib,

2) cov tawv nqaij kab mob cuam tshuam nrog mob ntshav qab zib thiab insulin tsis kam,

3) cov tawv nqaij ua kab mob cuam tshuam nrog mob ntsws,

4) idiopathic ua pob,

5) cov kab mob thiab cov kab mob fungal.

Hauv kev faib tawm tau piav qhia los ntawm Andrea A. KaLus, Andy J. Chien, John E. OLerud (2012), cov kab mob ntshav qab zib los ntawm kev tawv nqaij tau raug cais:

1) cov tawv nqaij ua rau cov ntshav qab zib mellitus cuam tshuam nrog cov metabolism, vascular, neurological lossis lub cev tsis muaj zog (ntshav qab zib scleredema, mob ntshav qab zib cheuropathy (kev txwv ntawm kev sib koom tes) thiab scleroderma zoo li (parenioplastic) syndrome, dub acanthosis, eantive xanthomas, tawv nqaij mob (kab mob, fungal) ),

2) cov kab mob cuam tshuam nrog cov ntshav qab zib mellitus nrog kev paub tsis meej pathogenesis (lipoid necrobiosis, annular granuloma, ntshav zais ntshav qab zib, ntshav qab zib dermopathy).

Qhov yooj yim tshaj plaws rau kev kis tau tus mob yog tus taw. Vim lub cev tsis ua haujlwm (kev mob ntshav qab zib neuropathy) hauv ntshav qab zib, qhov mob ntawm qhov mob qis qis dua, thiab kev cuam tshuam hauv cov hlab ntsha capillary ntshav txaus (microangiopathy) txo qis ntawm cov tawv nqaij rov ua dua tshiab. Vim yog mob neuro- thiab angiopathy, cov leeg ntawm lub cev ntawm cov ko taw kuj pib raug kev txom nyem: thaum taug kev, ib tug neeg tso lub ko taw tsis ncaj, thiab lub nra hnyav poob rau ntawm ib qho ntawm taw, ua rau nws raug mob - hyperkeratoses (pob kws, mob caj dab) thiab cov kab nrib pleb tshwm sim, thiab hauv tom qab thiab mob txhab. Yog li, txawm tias muaj kev raug mob me, tshuav tsis muaj kev cim rau lub sijhawm ntev, tuaj yeem ua rau muaj kev loj hlob ntawm cov mob ntshav qab zib mellitus, uas yog tus kab mob rau tus mob ntshav qab zib taw, qhov tseem ceeb ntawm kev txiav tawm ntawm qhov qis qis hauv ntshav qab zib mellitus.

Hyperglycemia ua rau ntxiv thiab ua kom lub cev qhuav dej, ua kom lub cev tsis ruaj khov ntawm cov qog ntawm tes thiab, vim li ntawd, lub zog metabolism ntawm cov tawv nqaij hlwb, sebaceous thiab hws cov qog.

Txhawm rau tiv thaiv microcracks thiab lwm cov tawv nqaij tawv nqaij, tus neeg mob uas muaj ntshav qab zib yuav tsum ua txoj haujlwm tu kab mob yooj yim txhua hnub. Rau cov ntshav qab zib, chav "ko taw mob ntshav" ua haujlwm hauv chaw kho mob. Cov kev cai tshwj xeeb rau kev tu ko taw tau tsim los.

Niaj hnub no, cov neeg mob ntshav qab zib tuaj yeem nrhiav hauv cov chaw muag tshuaj txhua yam lawv xav tau rau kev tu tawv nqaij tshwj xeeb. Kev xaiv kom txaus ntawm cov khoom tsim nyog thiab pheej yig yuav pab ua kom tiav cov tawv nqaij ua haujlwm nrog

ntshav qab zib yog tus cwj pwm zoo, txhim kho lub neej muaj txiaj ntsig ntawm cov neeg mob thiab zam kev txhim kho ntau yam teeb meem loj. Cov kab dav dav ntawm kev tu tawv nqaij tshwj xeeb rau cov ntshav qab zib yog txoj kev txhim kho hauv Lavxias - kev ua rau DiaDerm cream.

Hauv cov ntshav qab zib uas tsis tuaj yeem tswj hwm, qhov tsis muaj peev xwm mus teeb tsa thiab tso cov kua roj chylomicrons thiab lipoproteins ntau nrog rau cov roj triglycerides tuaj yeem ua rau nce ntshav tseem ceeb thiab ua rau lawv cov tawv nqaij sib ntxiv.

Raws li cov txiaj ntsig ntawm kev siv tshuaj pleev ib ce ntawm DiaDerm series, nqa tawm ntawm Department of Dermatovenerology thiab Clinical Mycology nrog rau chav kawm kuaj mob thiab kuaj ntshav mycology RMAPO (Moscow), nyob rau hauv cov neeg mob ntshav qab zib muaj cov suab tawm thiab ua kom rov zoo li qub, uas yog qhov chaw kuaj mob ua rau muaj kev txhim kho tseem ceeb hauv daim tawv nqaij. ntawm cov neeg mob li no, nrog rau kev tiv thaiv kev tiv thaiv kev tiv thaiv tawv nqaij ntawm tus taw ntawm cov neeg mob los ntawm kev kis tus mob mycotic hauv Diaderm Cov Tshuaj Tiv Thaiv. Cov txiaj ntsig ntawm kev tshawb nrhiav hom phiaj qhia txog kev hloov mus rau qhov ib txwm ua haujlwm ntawm lub cev nqaij daim tawv (noo noo, rog, pH, laser optic photometry) thaum siv Diaderm Kev Tiv Thaiv thiab Diaderm Mos Cov Tshuaj Pleev.

Hauv txoj kev tshawb nrhiav, DiaDerm cream talcum hmoov kuj tau qhia tau zoo los kho cov pob khaus ua pob rau hauv cov tawv nqaij loj hauv cov neeg mob ntshav qab zib mellitus. Cov tshuaj nplaum no muaj cov suab ua kom qhuav, tiv thaiv thiab ua kom antiseptic. Txhua tus neeg mob tau sau tseg tias kev siv yooj yim thiab cov qauv zoo nkauj ntawm talcum hmoov. Raws li kev kwv yees kwv yees ntawm cov neeg mob, ib qho pom kev qhuav ziab los ntawm kev siv cov tshuaj tau sau tseg tom qab 1-2 zaug ntawm kev siv. Tsis zoo lub siab ntawm qhov khaus khaus, mob thiab muaj zog ntxiv tau nres 2-3 hnub tom qab pib siv.

Yog li, kev siv cov tshuaj DiaDerm ua ntej lub cev yog qhov ntsuas tseem ceeb los tiv thaiv mycotic thiab mob tawm ntawm qhov mob qis qis hauv cov neeg mob ntshav qab zib mellitus, thiab DiaDerm cream talc tuaj yeem pom zoo rau kev kho mob tawm hws ntau dhau, ua pob xoo pob thiab tiv thaiv cov mob mycotic thiab kab mob hauv cov tawv nqaij loj. Cov.

Tsis tas li ntawd nyob rau hauv cov txheej txheem yog: Diaderm ko taw qab zib Ua kom hnyav 10% urea kom tshem tawm cov pob txha qhuav thiab pob txha, Diaderm lub cev pleev rau kev tsim kho tshiab kom nrawm kho cov microdamage rau ntawm daim tawv nqaij (qhov chaw txhaj tshuaj insulin, capillary daim tawv nqaij rau kev tsom xam), Diaderm tes thiab ntsia thawv rau saib xyuas cov tawv nqaij qhuav heev.

Diaultraderm cream tau tsim tshwj xeeb rau cov neeg mob ntshav qab zib mellitus. Kev soj ntsuam zoo tau muab los ntawm Diaultraderm AKVA cream nrog lub siab cov ntsiab lus ntawm super-oxide dismutase thiab Silver Dialethraderm raug tshuaj xyuas ntawm Department of Endocrinology thiab Diabetology ntawm Department of Endocrinology thiab Diabetology. Nws tau pom tias siv niaj hnub siv Diaultraderm Aqua lee pab lub cev nqaij daim tawv, ua kom nws daim tawv ywj, thiab txo qhov kev pheej hmoo ntawm kev tawg. Nrog lub caij nyoog siv, qhov txo qis hauv kev siv ntawm kev tsim ntawm hyperkeratoses yog sau tseg. Feem ntau ntawm cov neeg mob tau muab cov lus qhia zoo rau kev siv Diaultraderm Aqua lee, kom pom tias nws nqus tau zoo thiab qhov nrawm ntawm ua tiav qhov txiaj ntsig pom tau.

Nyiaj Diametraderm Lee, uas muaj, ntxiv rau cov tshuaj urea thiab cov khoom ua kom ya raws, nyiaj nitrate (qhov tsis-cytotoxic antiseptic nrog cov kab mob dav thiab fungicidal kev ua si), tau kuaj hauv cov neeg mob cov tawv nqaij ua paug thiab microcracks, feem ntau hauv thaj chaw calcaneal. Tawm tsam keeb kwm yav dhau los ntawm kev siv cov tshuaj nplaum no, kho kom sai ntawm cov tawv nqaij ua pob, nyem ntawm cov mob hauv zos thaum tsis pom qhov tsis zoo tshwm sim rau cov tshuaj qab zib tau sau tseg. Tsis zoo li kev siv tshuaj tua kab mob hauv zos thiab tshuaj tua kab mob, npaj nyiaj yuav siv tau ntev ntev yam tsis muaj kev pheej hmoo ntawm kev tsim cov tshuaj tua kab mob ntawm cov kab mob me me.

Nws ntseeg tau tias lub hauv paus ntawm kev tshem tawm ntawm daim tawv nqaij los ntawm cov hlab ntsha thiab cov hlab ntsha yog qhov tsim ntau cov dawb radicals, lub ntsiab ntawm yog superoxide.

Ntawm ntshav qab zib mellitus, hloov tshwm sim hauv lub qhov ncauj mucosa. Cov txheej txheem epithelial yog thinning, qhov loj me ntawm cov xov tooj ntawm tes raug txo, elastic fibers yog thickened, collagen bundles raug tso tawm. Nrog rau tus kab mob no, kev mob salivation yog qhov tsis sib xws (nws txoj kev ua tau zoo thiab ntau ntxiv), uas ua rau muaj kev txhim kho pathology ntawm lub qhov ncauj ntawm lub qhov ncauj thiab caries, yuam cov neeg mob no kom sab laj nrog kws kho hniav ntau dua. Raws li cov ntaub ntawv, kev kho hniav hauv cov neeg mob ntshav qab zib ua rau:

Te Nws muaj qhov txhawm kho hniav nrawm hauv cov hniav tas mus li rau cov menyuam yaus, nrog rau mob caj pas.

Are Muaj cov kev hloov pauv hauv cov kua qaub caj pas, tsis muaj peev xwm ua kom muaj lub cev thiab cov biochemical hloov pauv ntawm cov kua qaub ncaug, uas, ua rau xerostomia (qhov ncauj qhuav) thiab kev txhim kho ntawm cov teeb meem txuas ntxiv: ntau yam kab mob caries, candidiasis, halitosis.

Muaj kev cuam tshuam ntau rau cov caries, muaj peev xwm nce ntxiv ntawm cov hniav ploj, tag nrho cov no tau cuam tshuam nrog qib siab ntawm glycated hemoglobin.

■ Tawm tsam keeb kwm yav dhau los ntawm cov kab mob tiv thaiv kab mob, mob ntsws ntev ntev ntawm lub qhov ncauj ntawm qhov ncauj txhawm (ua kom mob hlwb, rov mob plab, mob plab, mob plab, thiab mob plab), mob qog, mob ntau yam thaum lub caij hnoos qeev, halitosis, lub sijhawm kho thaum phais yog lub sijhawm ntev, thiab mob heev cog kev cog lus.

Neurological muaj teeb meem pom nyob rau hauv lub qhov ncauj ntawm qhov ncauj ntawm daim ntawv ntawm stomatalgia (cov tsos mob tseem ceeb yog hlawv hauv lub qhov ncauj thiab tus nplaig) thiab perversion ntawm saj, lub neej nyob ntev ntawm stalagia ua rau kev ua txhaum ntawm kev nyiam huv ntawm lub qhov ncauj, thiab lub perversion ntawm saj ua rau hyperphagia thiab rog, tsis muaj peev xwm ua raws cov zaub mov noj, cov neeg mob ntshav qab zib ua rau ntshav tsis zoo glycemic tswj.

■ Kev hloov pauv ntawm microflora ntawm lub qhov ncauj ntawm lub qhov ncauj yog tus cwj pwm los ntawm qhov tseeb tias periodontopathogenic flora nce insulin tsis kam ntawm cov ntaub so ntswg thiab ua rau muaj kev cuam tshuam ntawm cov metabolic tswj ntshav qab zib, thiab muaj cov ntshav qabzib ntau nyob rau hauv cov kua dej gingival, tsis hnov qab neutrophil adhesion, chemotaxis thiab phagocytosis, cov yam ntxwv ntawm ntshav qab zib, ua rau muaj kev cuam tshuam thiab cuam tshuam.

Hauv kev hais lus thoob ntiaj teb thiab hauv tsev rau kev tswj ntshav qab zib, kev saib xyuas me ntsis yog them rau kev sib raug zoo ntawm cov ntshav qab zib thiab qhov ncauj kab mob, txawm hais tias cov neeg mob, tau txais cov kev paub tsim nyog, tuaj yeem ua tau zoo tshaj qhov kev tiv thaiv qhov ncauj, pom tias thawj cov cim ntawm pathological hloov pauv, nquag thov kev kho hniav kev saib xyuas, uas yuav khaws kev kho hniav thiab txhim kho glycemic tswj. Inflammatory ncig ncig cov kab mob uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm somatic pathology muaj ntev mob ntev, feem ntau tiv thaiv kev kho mob, thiab, txawm hais tias kev txhim kho ntawm txoj kev kuaj mob, kev tawm tsam dav dav ntawm kev saib xyuas thiab phais cov txheej txheem ntawm kev kho thiab ua kom muaj kev tiv thaiv zoo, tseem muaj teeb meem tseem ceeb hauv kev kho hniav niaj hnub.

Raws li txoj cai, tom qab 55 xyoo, ntau tus neeg mob ntshav qab zib tsis muaj lawv tus hniav ntxiv lawm. Tom qab rho hniav, cov txheej txheem kho tom qab lub qhov txhab yog ntau yam nyuaj thiab ntev dua. Txhawm rau tshem tawm txoj kev txhim kho ntawm cov teeb meem hauv lub qhov ncauj ntawm lub qhov ncauj, nws yuav tsum tau them nyiaj rau cov ntshav qab zib mellitus, ntxiv rau txhawb cov neeg mob ntshav qab zib kom ua raws li ntau txoj kev tu cev.

Qhov txiaj ntsig zoo yog pom los ntawm kev siv cov kev sib xyaw ua ke ntawm cov khoom siv tshwj xeeb rau kev kho qhov ncauj rau ntshav qab zib rau DiaDent. Kev soj ntsuam kev soj ntsuam raws li MMU SP # 7 ntawm lub nroog ntawm Samara ntawm kev kho mob thiab kho kom zoo thiab ua kom yuag ntawm cov DiaDent series hauv cov neeg mob ntshav qab zib mellitus pom tau tias lawv muaj qhov ua kom huv, ua kom tshem tawm cov quav hniav thiab muaj cov tshuaj tiv thaiv, ua kom pom qhov txo qis ntawm qhov ntsuas thaj tsam. Nws tau pom tias nrog siv ntev hauv cov neeg mob uas muaj suab thaj

Cov Tshuaj Txhuam Hniav Raws li niaj hnub muaj ntau txoj kev ntxuav, thiab DiaDent Active cov tshuaj txhuam hniav thiab yaug qhov ua kom mob ntau dua thiab tiv thaiv kev ua kom zoo. Kev tsis haum tshuaj los yog kev ua xua nyob rau thaj tsam ntawm cov tshuaj txhuam hniav thiab tshuaj yaug qhov ncauj ntawm qhov ncauj ntawm qhov ncauj ntawm cov neeg mob ntshav qab zib mellitus tsis tau kuaj pom.

Hauv kev hais lus thoob ntiaj teb thiab kev coj ua hauv tsev rau kev tswj hwm cov neeg mob ntshav qab zib, kev saib xyuas tsawg yog them rau kev sib raug zoo ntawm cov ntshav qab zib thiab qhov ncauj kab mob, txawm hais tias cov neeg mob, tau txais cov kev paub tsim nyog, tuaj yeem saib xyuas qhov ncauj huv

Rau ntawm Lub Tsev Haujlwm Tiv Thaiv Kev Kho Hniav nrog kev koom tes los ntawm Lub Chaw Haujlwm Tiv Thaiv Kev Kho Hniav ntawm State Medical University. Kev Kawm I.P. Pavlova hauv St. Petersburg hauv kev soj ntsuam hauv chaw soj ntsuam pom tias DiaDent cov tshuaj lub qhov ncauj yog qhov kev kho mob thiab txhawb tus neeg sawv cev los txhim kho kev tu lub qhov ncauj txhua hnub, uas tau hais tawm hauv kev txo qhov ncauj qhuav thiab tiv thaiv kev tsim kab mob sib kis, suav nrog candidiasis. Nws yog cov cuab yeej siv tau zoo tsis yog rau cov neeg mob ntshav qab zib, tab sis kuj rau cov neeg mob xerostomia thiab muaj kev cuam tshuam cov mob uas muaj mob ntshav qab zib.

Yog li, tswj ntshav qab zib, saib xyuas cov cai yooj yim kom huv si, tiv thaiv kev soj ntsuam los ntawm kws kho hniav thiab kws kho hniav, ua tib zoo saib xyuas kev xaiv cov khoom kho qhov ncauj pab kom zam dhau qhov tshwm sim ntawm qhov ncauj phom sij los ntawm tus kab mob tseem ceeb - ntshav qab zib, thiab tseem pab txhim kho cov txiaj ntsig zoo ntshav qab zib nws tus kheej.

1. Cov txiaj ntsig ntawm kev siv ntawm subprogramme "Ntshav Qab Zib mellitus" ntawm Tsoomfwv txoj haujlwm phiaj xwm "Kev Tiv Thaiv thiab tswj kab mob sib raug zoo 2007-2012". Ed. I.I. Dedova, M.V. Shestakova. Mob ntshav qab zib mellitus. Teeb Meem Tshwj Xeeb, 2013: 2-46.

2. Yawg Vaj Ntxwv II, Shestakova MV, Galstyan GR. Qhov ntau ntawm cov mob ntshav qab zib hom 2 hauv cov neeg laus ntawm Russia (Kev tshawb nrhiav Hauv Tebchaws). Ntshav Qab Zib Mellitus, 2016, 2 (19): 104-112.

3. Dedov II, Shestakova M, Benedetti HLI, Simon D, Pakhomov I, Galstyan G. .. Sab Sijhawm ntawm Hom 2 mob ntshav qab zib mellitus (T2DM) hauv cov laus neeg Lavxias (NATION kawm), Kev Tshawb Nrhiav Kab Mob Ntshav Qab Zib thiab Kev Tshuaj Ntsuam Xyuas, 2016.

4. Khlebnikova A.N., Marycheva N.V. Cov yam ntxwv ntawm kev kho sab nraud ntawm tawv nqaij pathology hauv cov neeg mob ntshav qab zib mellitus. Cov Neeg Tshuaj Ntsuam Cov Tshuaj thiab Cov Tawm Suab, 2011, 6: 52-58.

5. Calus Andrea A., Chin Andy J., Olerud John E. Mob ntshav qab zib mellitus thiab lwm yam kab mob endocrine. Ed. A.A. Kubanova, O.L. Ivanova, A.A. Kubanova, A.N. Lviv Fitzpatrick lub dermatology hauv kev siv hauv kev kho mob: hauv 3 vol. M.: Binom, 2012: 1594-1604.

6. Naumova V.N., Maslak E.E. Mob ntshav qab zib mellitus thiab kev noj qab haus huv hniav: teeb meem ntawm kev kuaj mob thiab kev kho mob ntawm cov neeg mob hauv cov chaw kho hniav. Kev Siv Tshuaj, 2013, 4 (72): 10-14.

Mob ntshav qab zib thiab mob plab

Stomatitis, ib lo lus dav dav rau kev mob thiab mob hauv qhov ncauj kab noj hniav, tuaj yeem cuam tshuam qee yam tib neeg kev ua - noj, tham, thiab pw tsaug zog. Stomatitis tuaj yeem tshwm sim txhua qhov chaw ntawm lub qhov ncauj ntawm lub qhov ncauj, suav nrog rau sab hauv ntawm lub puab tsaig, cov pos hniav, tus nplaig, daim di ncauj, thiab daim tawv.

Stomatitis yog mob daj ntseg daj nrog lub nplhaib sab nraud liab lossis ib pawg ntawm qhov mob ua paug rau hauv lub qhov ncauj kab noj, feem ntau nyob rau sab hauv ntawm daim di ncauj lossis sab plhu, thiab ntawm tus nplaig.

Tsis muaj leej twg paub dab tsi ua rau mob tiag tiag, tab sis muaj ntau yam xwm txheej ua rau lawv txoj kev txhim kho, piv txwv li, qee yam tshuaj noj, mob rau lub qhov ncauj qhov ncauj, cov zaub mov tsis zoo, kev ntxhov siab, kab mob lossis kab mob, tsis muaj pw tsaug zog, poob ceeb thawj sai, thiab qee yam zaub mov zoo li qos yaj ywm , txiv qaub ntsuab txiv ntoo, kas fes, chocolate, cheese thiab txiv ntoo.

Stomatitis kuj tseem tuaj yeem cuam tshuam txog kev txo lub cev tsis muaj zog vim qhov mob khaub thuas lossis mob khaub thuas, hloov tshuaj hormones, los yog muaj cov vitamin B12 tsawg lossis folic acid. Txawm hais tias qhov raug tom ntawm sab plhu lossis txiav ib sab ntawm lub qhov ntawm cov zaub mov tuaj yeem ua rau mob txhab. Stomatitis tuaj yeem tshwm sim los ntawm kev mob caj ces thiab suav tias yog qhov mob autoimmune.

Mob ncauj tawm, raws li txoj cai, tsis pub ntev dua ob lub lim tiam, txawm tias tsis muaj kev kho mob. Yog tias qhov mob tuaj yeem pom, tus kws kho mob tuaj yeem kho nws. Yog tias qhov mob tshwm sim tsis tuaj yeem nrhiav pom, ces txoj kev kho mob txhawm rau txo cov tsos mob.

Kev kho mob Stomatitis tom tsev, cov tswv yim hauv qab no tuaj yeem pab txo qhov mob thiab mob ntawm qhov ncauj tawm:

• Zam tej dej kub thiab zaub mov, thiab qab ntsev, ntsim thiab zaub nyoos. • Siv cov tshuaj pleev xim kom zoo li tylenol.

• Yaug koj lub qhov ncauj nrog dej txias los yog nqus dej khov yog tias koj hnov hauv koj lub qhov ncauj.

Mob ntshav qab zib thiab hniav lwj

Thaum cov ntshav qabzib hauv cov ntshav tswj tsis tau zoo, cov neeg mob ntshav qab zib yuav muaj cov piam thaj ntau hauv lawv cov qaub ncaug thiab lub qhov ncauj qhuav. Cov xwm txheej no ua rau cov quav hniav loj tuaj rau ntawm cov hniav, uas ua rau ua kom hniav thiab kab noj.

Cov quav hniav tuaj yeem tshem tawm tau zoo los ntawm kev ntxuav tu cov hniav thiab cov pos hniav ib hnub ob zaug nrog tus txhuam hniav thiab txhuam hniav nrog tshuaj fluoride. Siv cov tshuaj ntxuav hniav lossis dig dig txhua hnub los ntxuav cov khib nyiab ntawm koj cov hniav. Kev kho hniav zoo yuav tiv thaiv hniav lwj thiab mob pos hniav.

Mob ntshav qab zib thiab fungal kis ntawm qhov ncauj kab noj hniav

Qhov ncauj ntawm qhov ncauj tawm (mob ntsws) yog mob ua paug. Tus kab mob no yog tshwm sim los ntawm kev loj hlob ntau heev ntawm Candida Albicans poov xab. Qee qhov mob tshwm sim los ntawm cov ntshav qab zib, xws li muaj cov piam thaj hauv cov qaub ncaug, tsis zoo rau kev kis tus kab mob, thiab lub qhov ncauj qhuav (muaj qaub ncaug qis), tuaj yeem ua rau muaj mob candidiasis ntawm qhov ncauj (qhov ncauj tawm).

Candidiasis ntawm lub qhov ncauj kab noj ua rau muaj xim dawb lossis liab liab ntawm daim tawv nqaij ntawm lub qhov ncauj, uas tuaj yeem ua rau tsis xis nyob thiab mob. Kev tu lub qhov ncauj kom zoo thiab tswj ntshav qab zib kom ntshav qab zib (ntshav qabzib) yog qhov tseem ceeb rau kev kho mob ntawm qhov ncauj tau zoo. Koj tus kws kho hniav tuaj yeem kho tus kab mob no los ntawm kev sau tshuaj noj rau cov tshuaj ua kom quav.

Kev Kho Hniav thiab Rau Cov Hniav

Yog tias koj muaj ntshav qab zib, txhawm rau tiv thaiv teeb meem ntawm koj cov hniav thiab cov pos hniav, koj yuav tsum:

• Ua raws li koj tus kws kho mob noj zaub mov noj thiab qhia tshuaj noj kom ua rau koj cov ntshav qab zib nyob sib luag npaum li qhov ua tau. • Txhuam txhuam koj cov hniav thiab cov pos hniav ib hnub ob zaug nrog tshuaj txhuam hniav uas muaj tshuaj fluoride. • Siv cov hlua dig hniav los yog siv tshuaj txhuam hniav txhua hnub los ntxuav cov hniav. • Mus ntsib kws kho hniav tsis tu ncua rau cov lus qhia txog kev tu hauv tsev kom zoo, paub ntxov thiab kho kab mob qhov ncauj kom koj cov hniav thiab pos hniav huv. • Zam kev qhov ncauj qhuav - haus dej ntau thiab zom cov zom zom uas tsis muaj piam thaj kom txhawb tau cov qaub ncaug.

Mob ntshav qab zib mellitus - ib qho kev nthuav qhia hauv lub qhov ncauj kab noj hniav

Ntawm lub plawv mob ntshav qab zib yog kev ua txhaum ntawm cov metabolism ntawm carbohydrates hauv lub cev. Tom qab, nrog chav kawm ntawm tus kab mob, ntau yam teeb meem metabolic tawm ntawm cov protein thiab cov rog rog koom nrog. Tus yam ntxwv, cov tsos mob ntawm tus kab mob hauv qhov ncauj kab noj hniav yog suav tias yog thawj qhov ua ntej ntawm tus kabmob.

Xerostomia. Qhov kev xav ntawm dryness hauv lub qhov ncauj kab mob tau txhawj txog cov neeg mob los ntawm qhov pib ntawm ntshav qab zib. Feem ntau cov neeg mob yws ntawm nqhis dej. Nrog rau kev soj ntsuam xyuas lub qhov ncauj ntawm lub qhov ncauj, cov qog ua kua yuav qhuav los yog me ntsis noo noo, ci, tej zaum yuav muaj hyperemia me ntsis. Kev ua kom qhuav ntawm lub qhov ncauj mucosa hauv ntshav qab zib yog suav tias yog qhov ua kom lub cev qhuav dej. Txawm hais tias, yog tias ib tus neeg muaj xerostomia, qhov no tsis txhais tau tias nws muaj ntshav qab zib, vim hais tias kev qhuav ntawm lub qhov ncauj kab mob kuj tseem tuaj yeem nrog Mikulich's syndrome, Sjögren's syndrome, pathologies ntawm lub paj hlwb thiab ntau lwm yam kab mob.

Glossitis thiab catarrhal stomatitis. Kev kis mob ntawm tag nrho cov hnoos qeev ntawm lub qhov ncauj lossis qee qhov ntawm nws cov ntshav qab zib tuaj yeem tshwm sim los ntawm kev kis tus kab mob, nws qhov mob tsis zoo, vim tias qhov tsis zoo ntawm cov qog ua kua nws tus kheej tau ua txhaum, thiab dysbiosis tuaj yeem tsim kho. Hauv cov txheej txheem ntawm cov kab mob pathology no, nws yog qhov tseem ceeb heev uas yuav txo tau cov qaub ncaug - tom qab tag nrho, tsis muaj dej noo. Kev yws ntawm cov neeg mob feem ntau hais txog mob thaum noj zaub mov, tshwj xeeb yog nyuaj thiab kub. Ntawm kev xeem, cov hnoos qeev tau qhuav, kub, nws yuav muaj kev yaig thiab cov ntshav tawm.

Paresthesia ntawm mucosa. Kuj tseem muaj cov cim ntshav qab zib thaum ntxov, nrog rau xerostomia. Clinically, paresthesia tsis txawv ntawm paresthesia hauv lwm yam kab mob - cov hlab ntsha hauv plab, plab. Qhov kev hnov mob ntawm cov hnoos qeev feem ntau ua ke nrog khaus ntawm daim tawv nqaij hauv lwm qhov chaw ntawm lub cev - piv txwv, cov qau. Cov kab mob hauv lub plawv tsis ua haujlwm suav nrog neuralgia thiab neuritis, uas feem ntau ntsib hauv ntshav qab zib mellitus. Feem ntau, cov neeg mob nco ntsoov tias qhov qab ntsev tsawg tshaj plaws, qab zib thiab qab ntsev. Tab sis thaum pib ntawm kev kho mob, cov kev hloov pauv haujlwm no ploj mus.

Muaj ntau dua kis mob, cov mob rau sab hauv tuaj yeem tsim ntawm lub qhov ncauj ntawm qhov ntswg, uas yog tus cwj pwm los ntawm kev ua kom ntev thiab kho qeeb qeeb.

Ntawd yog, txhua yam ntawm cov kev hloov pauv saum toj no tuaj yeem muaj ntshav qab zib, tab sis tib lub sijhawm nws tuaj yeem yog cov tsos mob ntawm lwm yam kab mob, yog li kev kuaj ntshav txawv ntawm tus mob ntshav qab zib yog qhov tseem ceeb heev. Kev kho yuav tsum yog txoj kev xav mus ua ke - tus kws kho mob endocrinologist thiab kws kho hniav. Kev kho mob hauv zos ntawm kev hloov pauv ntawm lub qhov ncauj, yog tsis muaj kev kho mob ntshav qab zib nws tus kheej, yuav tsis ua kom tshwm sim. Nrog rau kev puas tsuaj loj ntawm lub qhov ncauj ntawm lub qhov ncauj, kev kho mob tshwm sim - yog tias pom qhov ncauj ntawm qhov ncauj, cov tshuaj tua kab mob yog tshuaj - nystatin, levorin, thiab lwm yam, kev noj cov vitamins.

Tus nplaig muaj ntshav qab zib: yees duab lub qhov ncauj mob

Ntawm cov ntshav qab zib mellitus, vim tias cov ntshav qab zib ntau ntau, cov neeg mob pheej nqhis dej thiab qhov ncauj qhuav. Qhov no ua rau txoj kev txhim kho ntawm cov txheej txheem ua haujlwm ntawm cov hnoos qeev ua kom puas tsuaj, ua rau epithelium thiab qhov tshwm sim ntawm cov mob rau ntawm tus nplaig lossis sab hauv puab sab plhu.

Qhov uas nquag pom muaj hauv cov neeg mob ntshav qab zib yog cov nqaij ntshuag thiab lichen planus. Qhov mob hauv qhov ncauj ua rau nws pw tsis tsaug zog thiab noj mov, txhuam koj cov hniav kuj ua rau tsis xis nyob. Txij thaum muaj kev tiv thaiv raug txo qis hauv cov ntshav qab zib mellitus, cov kab mob zoo li no tau ua los ntawm txoj kev mob hnyav thiab rov huam mob dua.

Kev tshwm sim ntawm qhov txhab ntawm qhov ncauj qhov ncauj tau nce nrog cov ntshav qab zib uas ua rau muaj ntshav qab zib, yog li ntawd, rau lawv cov kev kho mob, koj yuav tsum txo cov ntshav qab zib thiab ua tiav nws cov kev ua haujlwm ruaj khov. Cov kws kho hniav tsuas yog kho cov tsos mob.

Qhov ncauj mob ntshav qab zib hauv ntshav qab zib

Feem ntau nyob hauv tib neeg, cov paim quav me me uas zoo li cov kab mob ntawm cov genus Candida tuaj yeem pom nyob ntawm cov hnoos qeev. Lawv tsis ua tawm cov tsos mob tshwm sim hauv lub xeev kev tiv thaiv ntawm lub cev tsis muaj zog. Feem ntau ntawm tus mob candidiasis hauv cov neeg mob ntshav qab zib nce mus txog 75%.

Qhov no yog vim muaj qhov tseeb tias, thaum lub sijhawm hauv zos thiab dav dav kev tiv thaiv kev tiv thaiv tsis muaj zog, cov kab mob hu ua fungi hloov pauv lawv lub zog, tau txais lub peev xwm kom sai sai thiab ua rau cov hnoos qeev epithelium. Cov piam thaj ntau ntxiv hauv cov ntshav tsim cov kev mob zoo rau lawv cov me nyuam.

Qhov thib ob yam ua rau muaj tus mob candidiasis hauv ntshav qab zib yog txo kev salivation thiab xerostomia (qhov ncauj qhuav), raws li muaj kev cuam tshuam ntawm cov lub cev qhuav dej hauv cov ntshav qab zib. Nquag, cov qaub ncaug yooj yim tshem tawm cov microbes los ntawm cov qog ua kua thiab tiv thaiv lawv los ntawm kev txuas rau nws.

Cov tsos mob ntawm tus mob candidiasis yog qhov hnyav dua yog tias yam hauv qab no ntxiv rau ntshav qab zib:

Laus lub caij nyoog.
Cov hniav cuav uas tshem tau lossis tawm ntawm cov hniav ntse (rau caries).
Tshuaj tua kab mob kho.
Haus Yeeb.
Kev siv cov tshuaj hormonal, nrog rau cov tshuaj tiv thaiv.

Tus kabmob kuj tseem tshwm sim hauv cov menyuam yaus ntawm thawj xyoo ntawm lub neej, nws cov tsos mob hnyav dua rau cov neeg mob uas tsis muaj zog, muaj ntshav qab zib mellitus ntau heev. Koom tes nrog kev mob candidiasis ua cov cim kev tiv thaiv kev tiv thaiv qis.

Cov roj xoos ntawm lub qhov ncauj ua kom zoo, liab thiab tso nyiaj rau ntawm qhov chaw ntawm lub palate, sab plhu thiab daim di ncauj tshwm nyob rau hauv daim ntawv ntawm cov xim dawb curd, raws li kev tshem tawm ntawm qhov uas raug mob, yaig thiab los ntshav qhib. Cov neeg mob tau txhawj xeeb txog kev hlawv thiab mob hauv lub qhov ncauj kab noj, nyuaj rau noj.

Tus nplaig nyob rau hauv cov ntshav qab zib thiab mob candidomycosis yuav maub liab, tais, nrog papillae du.Tib lub sijhawm, cov neeg mob yws yws ntawm qhov mob thiab raug mob thaum noj zaub mov tom qab ntawm cov hniav: Cov nplaig mob thiab tsis haum ntawm lub qhov ncauj, thaum kuv noj, kuv tom kuv tus nplaig.

Kev tom ntawm tus nplaig hauv kev npau suav tuaj yeem ua rau tsim muaj qhov mob peptic. Lub qhov ncauj ntawm qhov ncauj nrog cov kab mob no yog rhiab rau cov dej txias lossis kub heev, cov zaub mov ntxhib. Nyob rau tib lub sijhawm ntawd, menyuam yaus tsis kam noj, tsis qab los noj mov, ua rau lub siab npau taws thiab nkees.

Yog tias cov txheej txheem dhau los ua mob ntev, tom qab ntawd cov ntaub nplaum thiab cov tawv nqaij txho ua rau ntawm tus nplaig thiab cov leeg ntawm lub puab tsaig, ua ib txoj kab liab liab. Cov quav hniav tsis tuaj yeem muab tshem tawm thaum kos khoom. Tib lub sijhawm, tus nplaig tuaj yeem ua rau mob, dhau los ua ntxhib, cov neeg mob tau txhawj xeeb txog qhov ncauj qhuav.

Cov hniav mob stomatitis nrog lub siab ntev thiab ua haujlwm ntawm cov nqaij mos. Hauv cov xwm txheej no, qhov pom meej meej liab pom nrog cov xim dawb me me thiab yaig hauv qhov fab ntawm qhov ncauj tshwm ntawm lub gingival mucosa. Tus nplaig nrog cov ntshav qab zib hauv daim duab yog xim liab, nrog du papillae, edematous.

Fungal kev puas tsuaj rau lub qhov ncauj mucosa tau ua ke nrog nrog cov kab liab liab ntawm daim di ncauj, qhov tshwm sim ntawm qaug dab peg, thiab cov qau thiab cov tawv nqaij kuj tseem muaj tus kab mob. Tej zaum muaj kev txhim kho ntawm cov kab nrib pleev candidiasis nrog kev kis mus rau lub plab hnyuv plab hnyuv, ua pa ntawm lub cev.

Yog tias muaj tus mob ntshav qab zib rau nws, nws raug nquahu kom kho cov ntshav qab zib hauv lub siab, vim lwm txoj kev ntsuas rau tus mob hyperglycemia yuav tsis muaj txiaj ntsig. Ntau zaus, kev kho mob yog nqa tawm nrog cov tshuaj hauv zos: Nystatin, Miconazole, Levorin, cov ntsiav tshuaj uas yuav tsum tau daws. Cov hmoov tsis zoo yuav raug zam tau los ntawm kev txhuam nws nrog stevia extract.

Lawv kuj tau siv rau kev kho mob (yam tsawg kawg 10 hnub):

Antifungal pleev pleev rau hauv daim ntawv ntawm daim ntawv thov.
Lubrication nrog kev daws ntawm Lugol, borax hauv glycerin.
Yaug nrog lub tshuaj uas tsis muaj zog ntawm cov poov tshuaj permanganate ntawm kev ntuav ntawm 1: 5000.
Kev kho mob nrog 0.05% Chlorhexidine lossis ib qho kev daws teeb meem ntawm hexoral (Givalex).
Aerosol Bioparox.
Cov ntawv thov ncua ntawm Amphotericin lossis 1% daws ntawm clotrimazole.

Nrog mob candidiasis, uas rov ua dua, nrog rau kev sib xyaw ua kom puas rau ntawm daim tawv nqaij, rau tes, caj ces, kho lub cev.

Fluconazole, Itraconazole lossis Nizoral (ketoconazole) tej zaum yuav tau siv.

Cov tshuaj kho mob ntawm cov neeg rau kev kho mob tawm ntawm lub qhov ncauj kab noj hniav

Qhia koj qab zib lossis xaiv tus tub los ntxhais rau cov lus pom zoo Nrhiav. Nrhiav tsis pom. Tshawb pom. Nrhiav tsis pom. Pom. Nrhiav tsis pom.

Txog kev tiv thaiv thiab kho tus mob sib khuav ntawm candidiasis, cov tshuaj ib txwm siv tau. Lawv kuj tuaj yeem pom zoo rau kev kho kom rov zoo tom qab kawm ib qho ntawm cov tshuaj tiv thaiv kev puas tsuaj.

Cov kev kho mob zoo li no tau coj tawm hauv kaum hnub, lawv tuaj yeem rov ua dua 2 zaug hauv ib hlis, noj ib zaug 5 hnub. Tseem ceeb roj thiab phytoncides ntawm cov nroj tsuag muaj cov nyhuv antifungal. Kev npaj tshuaj ntsuab daws qhov mob thiab mob, ua kom lub zog tiv thaiv cov hnoos qeev ntawm lub qhov ncauj kab noj hniav.

Tsis tas li ntawd, decoctions thiab infusions ntawm tshuaj ntsuab, nrog rau cov kua txiv ntawm cov nroj tsuag thiab cov roj muaj txiaj ntsig ntxiv ua rau epithelization ntawm erosive thiab ulcerative tsis xws luag. Nrog candidomycosis, nws raug pom zoo:

Tso kua txiv ntawm dos, wormwood los yog qej 2-3 zaug ib hnub
Yaug nrog Txoj kev lis ntshav ntawm calendula paj txhua 3-4 teev.
Khaws kua txiv los ntawm cranberries lossis viburnum hauv koj lub qhov ncauj.
Yaug cov zaub ntug hauv paus cov kua txiv 4 zaug hauv ib hnub.
Tsib tsib zaug nyob rau ib hnub, yaug koj lub qhov ncauj nrog rau kev nqus ntawm St. John lub wort.

Koj tuaj yeem siv cov paj rwb los so rau lub qhov txhab uas ntub dej rau hauv cov kua txiv aloe, dej hiav txwv buckthorn roj lossis sawv duav. Rau kev yaug siv lub decoction ntawm rosemary lossis oak xyoob ntoo. Cov hauv paus hniav muaj pob thiab cov noob hauv pob zeb yog siv los ua infusions rau siv sab hauv.

Thaum kho tus mob thrush, koj yuav tsum tso tseg cov khoom uas muaj cov poov xab, txhua yam kev sib txuas (txawm tias muaj cov qab zib), cov txiv qab zib, cov dej qab zib thiab cov dej qab zib nrog qab zib, ib qho twg hauv cov kua ntsw, cov txuj lom, cov kas fes muaj zog thiab tshuaj yej.

Kev noj zaub mov kom muaj txiaj ntsig zoo hauv cov zaub tshiab thiab tshuaj ntsuab, cov roj zaub, thiab cov khoom noj siv mis.

Nws tseem muaj txiaj ntsig rau haus kua txiv thiab txiv hmab txiv ntoo haus yam tsis muaj qab zib los ntawm cranberries, blueberries thiab lingonberries.

Qhov ncauj lichen planus hauv cov neeg mob ntshav qab zib

Feem ntau, tus kab mob no tshwm sim rau cov poj niam hnub nyoog 30 txog 50 xyoo thiab cuam tshuam cov pos hniav, daim di ncauj, sab nraub qaum plhu, tawv tawv thiab tus nplaig. Qhov lichen no tsis kis tau thiab yog txuam nrog ib tus neeg ua txhaum cai ntawm lub cev tiv thaiv kab mob ntawm tes.

Kev sib xyaw ua ke ntawm ntshav qab zib, ntshav siab thiab lichen planus hu ua Grinshpan's syndrome. Nws tuaj yeem tshwm sim nrog kev raug mob mucosal los ntawm lo hniav looj los yog lub ntsej muag ntse ntawm cov hniav, txhawm rau kev ua tsis tiav.

Thaum siv cov hlau sib txawv rau cov kaus ncauj zoo, nws ua rau pom kev ntawm lub galvanic tam sim no thiab hloov cov khoom sib xyaw kom muaj qaub ncaug. Qhov no provokes kev puas tsuaj rau lub mucous daim nyias nyias. Cov teeb meem ntawm lichen planus nyob rau hauv kev sib cuag nrog cov kws tsim yeeb yaj kiab thiab kub thiab tetracycline tau piav qhia.

Muaj ob peb hom ntawm cov chav kawm ntawm tus kab mob:

Raug - me me nodules, thaum sib xyaw ua ke ua qauv lace.
Exudative-hyperemic - tiv thaiv keeb kwm ntawm liab thiab edematous mucous membrane, grey papules yog pom.
Hyperkeratotic - coarse grey plaques uas tau sawv saum toj saud lub qhov chaw ntawm qhuav thiab tawv ncauj.
Kev zom zaws hauv qhov quav - ntau yam ntawm qhov txhab ua tsis taus thiab cov ntshav los ntshav yog them nrog fibrinous plaque. Nrog rau daim ntawv no, cov neeg mob yws yws tias lawv cia li mob tam sim ntawd hauv qhov ncauj thiab muaj qhov hnov zoo mob hlawv.
Daim ntawv foos nrog ua nrog los ntawm cov hlwv daj nrog cov ntshav ntawm cov ntawv. Lawv qhib nyob rau hauv ob hnub thiab tawm hauv qab yaig.

Kev kuaj keeb kwm yog ntsuas los ua kev kuaj mob.

Cov ntawv asymptomatic thiab papules nkaus xwb tsis tas yuav muaj kev kho mob tshwj xeeb thiab ploj thaum mob ntshav qab zib yog nyiaj them rov qab. Cov av tawv nqaij thiab txheej txheem mob yog kho nrog cov tshuaj pleev hauv zos. Yuav kom nrawm kho kom zoo, cov vitamin E tau siv rau hauv cov qauv ntawm cov roj tov thiab methyluracil.

Hauv cov foos hnyav, corticosteroid cov tshuaj hormones yog tsim nyob rau hauv thaj tsam ua ke nrog cov tshuaj tiv thaiv kev ua kom tsis txhob mob candidiasis. Nrog rau kev txo qis tiv thaiv, Interferon lossis Myelopid siv.

Yog tias ib qho kev paub ntawm kev fab tshuaj tsis haum, tom qab ntawd cov tshuaj antihistamines tau siv (Erius, Claritin).

Tshuaj Ntshav Ntshav Qab Zib Tiv Thaiv Mob Ntshav Qab Zib

Txhawm rau tiv thaiv kev puas tsuaj rau lub qhov ncauj kab noj hniav, kev tu lub cev tsis tu ncua thiab tshem tawm ntawm lub cev ntaj ntsug: caries, lub ntsej muag ntse ntawm tus hniav, kho overhanging sau, pulpitis yog qhov tsim nyog. Cov hniav cuav uas tsis raug xaiv yuav tsum tau hloov.

Cov neeg mob ntshav qab zib yuav tsum tsis txhob haus luam yeeb thiab noj zaub mov ntsim thiab zaub mov kub, thiab tsis txhob haus dej cawv, khoom qab zib thiab khoom noj hmoov, yoog rau kev noj zaub mov zoo. Kev tu kom zoo rau koj cov hniav thiab hniav looj yog qhov tseem ceeb.

Muab yaug koj lub qhov ncauj tom qab koj noj mov tag. Rau qhov no, koj tsis tuaj yeem siv cawv uas muaj elixirs, uas ua rau kom ziab ntawm cov qog ua kua. Koj tuaj yeem tsoo chamomile lossis calendula paj, sage. Hiav txwv buckthorn roj lossis Chlorophyllipt cov kua roj yog siv los kho thaj chaw liab.

Kev siv tshuaj kho lub cev ua cov tshuaj electrophoresis lossis phonophoresis kuj tseem pom tias yuav txo tau qhov dryness ntawm cov qog ua kua. Nyob rau hauv muaj cov leeg poob siab, mob plab zom mov, tshuaj suav liab raws li valerian, peony thiab motherwort yog kws kho. Daim vis dis aus hauv tsab xov xwm no yuav qhia koj tias yam lus ntsig txog cov lus zoo tuaj yeem hais li cas.

Qhia koj qab zib lossis xaiv tus tub los ntxhais rau cov lus pom zoo Nrhiav. Nrhiav tsis pom. Tshawb pom. Nrhiav tsis pom. Pom. Nrhiav tsis pom.

Qhov ncauj mob ntshav qab zib hauv ntshav qab zib

Ntshav qab zib mellitus yog ib yam kab mob ua rau neeg mob. Thaum pib theem ntawm nws tsim, koj tuaj yeem kawm paub txog cov tsos mob uas cuam tshuam rau lub qhov ncauj kab noj hniav. Qhov ncauj qhuav, hlawv, loog kuj yuav pom. Cov yam ntxwv ua rau lub cev tsis muaj zog ua ntej lwm yam kab mob.

Mob ntshav qab zib cuam tshuam nrog cov zaub mov kom zoo ntawm lub cev, cuam tshuam cov ntshav mus rau cov pos hniav. Vim li no, tsis muaj cov calcium txaus xa mus rau cov hniav, thiab cov hniav txha hniav laus ua nyias thiab tawv. Kev nce qib ntawm cov piam thaj hauv cov qaub ncaug muaj txiaj ntsig zoo rau kev tsim thiab rov ua dua ntawm cov kab mob pathogenic, ua rau muaj kev loj hlob ntawm cov kab mob hnyav ntawm lub qhov ncauj kab noj hniav.

Qhov tshwm sim ntawm ntshav qab zib hauv qhov ncauj tawm ntawm qhov ncauj yog ua rau mob hnyav, o ntawm cov pos hniav. Ib txoj kev kho tau zoo yog kev phais mob, tshem tawm ib tus hniav cuam tshuam. Yog li, nws yog ib qho tseem ceeb kom nrhiav kev pab kho mob kom ncav sijhawm thiab tswj xyuas lub xeev cov ntshav qab zib.

Symptomatology

Thaum nyuam qhuav pib mob ntawm qhov ncauj, nws yog ib qho tseem ceeb kom nrhiav kev pab kho mob.

Cov tsos mob ntawm tus mob ncig yog:

liab thiab o ntawm cov pos hniav,
cov pos hniav los ntshav
rhiab heev rau qhov txias, kub, qaub,
ntxhiab tsw phem
cov zaub mov tsis zoo (saj cov ntshav, uas zoo li saj ntawm hlau)
purulent tawm los ntawm cov pos hniav,
hloov pauv nyob rau hauv saj,
kis ntawm keeb kwm
qhov tsim ntawm qhov chaw nruab nrab ntawm cov hniav.

Tus kab mob yog qhov nyuaj los ntawm kev tswj tsis tau ntshav qab zib.

Periodontitis Kev Kho Mob

Kev kho tus mob Periodontitis suav nrog kev ntxuav cov hniav los ntawm pob zeb thiab chaw tso nyiaj, kev siv tshuaj tua kab mob.

Thaum muaj mob hnyav ntawm cov kabmob, siv txoj kev phais mob. Thaum zoo li no, tshem cov pos hniav ib nrab yog tau, tom qab ntawd lub hnab ris ncig ib ncig yog ntxuav.

Stomatitis yog ib qho kev kho mob hauv lub qhov ncauj uas tshwm sim ntawm daim di ncauj, lub puab tsaig, tus nplaig, sab hauv sab plhu, cov pos hniav. Ntawm cov ntshav qab zib mellitus, hlwv, tawm hlwv, thiab ua rau yaig hauv qhov ncauj kab noj hniav. Tus neeg mob yuav hnov mob uas ua rau nws tsis noj mov, haus dej thiab qee zaum ua rau muaj kev ntxhov siab thaum pw tsaug zog. Qhov tsim tawm ntawm tus mob stomatitis yog cuam tshuam los ntawm kev siv tshuaj, kev ntxhov siab, kev noj zaub mov tsis zoo, tsis muaj kev pw tsaug zog, poob ceeb thawj sai.

Mob ntshav qab zib txo cov kev tiv thaiv kev tiv thaiv ntawm lub cev tiv thaiv, ua rau stomatitis. Qee lub sij hawm nws yog ntawm ib qho kev sib kis tau tus kab mob, tiv thaiv los ntawm cov kab mob, cov kab mob pathogenic, hu ua fungi.

Lub hauv paus rau kev txhim kho tus kabmob yog kev raug mob uas tshwm sim, piv txwv li, los ntawm khawb ntawm ib qho av qhuav ntawm qhob cij, thiab tseem tus neeg mob yuav tom ntawm tus nplaig.

Qhov nyuaj ntawm tus kab mob ntawm lub qhov ncauj kab mob yog tias mob ntshav qab zib, stomatitis tsis zoo kho.

Thaum stomatitis yog tseem ceeb:

tsis suav nrog kev noj cov dej kub, qab ntsev thiab ntsim, kua zaub ntsuab,
siv cov tshuaj pleev xim
yaug nrog dej txias, koj tuaj yeem nqus ib da dej khov kom txo qhov mob ncus.

Nws yog ib qho tseem ceeb kom ua raws li tus kws kho mob cov lus pom zoo txhawm rau txhim kho kev kho mob ntawm qhov mob hauv qhov ncauj kab noj hniav.

Lub sijhawm tiv thaiv tus kabmob uas tsis kho yog 2 lub limtiam. Nrog rau kev siv tshuaj tua kab mob, koj tuaj yeem tshem tus kab mob tau sai. Koj tuaj yeem yaug nrog tincture ntawm ntoo qhib xyoob ntoo, calendula, chamomile, furatsilina daws.

Yog hais tias stomatitis yog sab laug tsis kho, ces tus kab mob txij ua ke mus ua ke nyob rau hauv cov xwm txheej zoo yuav tshwm sim nws tus kheej.

Tsis tas li ntawd, kev txhim kho pathology cuam tshuam cov tsos ntawm lwm yam kab mob (mob caj dab, mob plawv).

Qhov tshwm sim ntawm ntshav qab zib muaj qhov tsis zoo cuam tshuam rau kev mob ntawm cov hniav hauv lub qhov ncauj kab noj hniav. Qaub ncaug muaj cov suab thaj ntau, uas muaj kev puas tsuaj ntawm cov hniav. Cov piam thaj crushed no yog ib qho kev raug rau cov kev loj hlob ntawm cov kab mob uas ua rau ntawm tus kaus hniav txha hniav laus.

Cov kab mob noj ntawm cov piam thaj thiab tawm cov khoom pov tseg hauv daim ntawv ntawm butyric, lactic, formic acid. Acid provokes tsim ntawm caries. Nrog kev kho mob qeeb, tag nrho cov kaus hniav pov tseg. Mob ntsws, mob raws nqaij.

Cov tsos ntawm tus kab mob yog cuam tshuam los ntawm qhov muaj suab thaj hauv cov qaub ncaug, kev tiv thaiv tsis muaj zog thiab lub qhov ncauj qhuav. Qhov chaw ntawm candidiasis yog poov xab kab mob. Ntawm cov ntshav qab zib, ib txheej xim dawb dawb npog cov di ncauj, tus nplaig, thiab sab plhu. Ua ntej, cov leeg me me npog lub qhov ncauj kab noj hniav, tom qab ntawd lawv loj tuaj. Thaum cov mob tseem khiav, cov quav hniav npog cov pos hniav, ntuj, tonsils, thaum thaj chaw cuam tshuam tsuas yog sib xyaw ua ke.

Zaj duab xis-txheej xim tuaj yeem tshem tawm tau yooj yim. Hauv qab nws yog daim tawv nqaij tawv nqaij liab, mob uas yog yooj yim raug mob thiab los ntshav.

Vim li no, nws nyuaj rau tus neeg mob hais lus, haus dej, noj zaub mov, nqos. Cov leeg ntawm lub qhov ncauj ua rau kub thiab liab. Tus neeg mob dhau los ntawm kev hnov mob roj, khaus, ploj ntawm saj.

Cov mob Candidiasis yog pom los ntawm kev nce hauv kub, cov tsos mob ntawm intoxication ntawm lub cev tshwm.

Cov kab nrib pleb tshwm ntawm cov ces kaum ntawm lub qhov ncauj, uas tau npog nrog ib txheej dawb, ua nplai.

Kev kho kab mob rau cov mob candidiasis yog tus kws kho hniav sau, yog mob hnyav, sab laj nrog kws kho mob tshwj xeeb yog qhov tsim nyog. Nws yog tsim nyog kom nco ntsoov tias cov txheej txheem kev kho mob tau maj mam dhau los nrog ntshav qab zib, tab sis yog tias tus neeg mob tau haus luam yeeb, qhov no ua rau rov qab los.

Tus neeg mob tau sau tshuaj tiv thaiv kab mob (ntsiav tshuaj, tshuaj ntsiav), tshuaj tua kab mob, tshuaj tiv thaiv kab mob, tshuaj kom ntxiv dag zog rau lub cev tiv thaiv kab mob. Nws raug nquahu kom siv cov tshuaj pleev, tshuaj yaug (Fukortsin, Iodinol) kom txo cov tsos mob, kev txaws yuav ua tau los ntawm soak cov nqaij mos nrog kev daws teeb meem. Nws yog ib qho tseem ceeb kom yaj lozenges nrog cov tshuaj tua kab mob. Nws raug nquahu kom siv txoj kev kho hnyav.

Nplaig loog

Loog ntawm tus nplaig hauv cov ntshav qab zib yog qhov teeb meem uas ib txwm muaj. Pathology cuam tshuam cov lus qhia, qaum thiab qis ntawm cov khoom hauv nruab nrog cev, qee zaum hnov qhov tsis zoo nyob rau hauv lub ncauj sab saud tau ntxiv. Kev ua kom muaj qaub ncaug tsawg zuj zus ua rau o thiab mob ntawm tus nplaig.

Cov txheej txheem ntawm loog, ntxiv rau qhov ua tsis tiav nyob rau hauv endocrine system, cuam tshuam los ntawm ntau yam:

cev xeeb tub
kev mob plawv.

Ib lub xeev ntawm loog tuaj yeem tau txais ib daim ntawv hnyav uas ua rau qhov rhiab ntawm ib qho khoom hauv nruab nrog ploj ib feem lossis tag.

Kev tiv thaiv thiab cov lus pom zoo

Nws yog ib qho tseem ceeb rau kev tshawb xyuas thiab tswj cov ntshav qab zib kom ruaj. Ib qho tseem ceeb yog qhov ua raws li cov khoom noj muaj qab zib. Nws yog pab rau noj ntau zaub tshiab thiab txiv hmab txiv ntoo.

Nws raug nquahu kom mus ntsib kws kho hniav kuaj mob 2 zaug hauv ib xyoos. Txhuam hniav tag nrho 2 zaug hauv ib hnub, xaiv cov tshuaj txhuam hniav kom yog. Nws raug nquahu kom siv cov hlua dig hniav txhawm rau txhawm rau txhawm rau txhaws txhuam ntawm cov hniav los ntawm cov khoom noj uas seem. Tus txhuam hniav yuav tsum tau xaiv kom raug kom tsis txhob ua rau kom cov pos hniav puas.

Nws yog ib qho tseem ceeb kom zam kev coj ua tsis zoo (haus luam yeeb, haus dej cawv), haus dej txaus. Koj yuav tsum xyuam xim rau cov dej kom zoo, nws yog qhov tseem ceeb rau haus dej huv. Txhawm rau ua qhov no, koj tuaj yeem nruab kho cov nroj tsuag kho ntawm cov kais dej, siv cov ntxaij lim dej sib txawv, thiab lwm yam. Siv cov zom zom cov pos hniav uas tsis muaj piam thaj los ua kom cov qaub ncaug qhuav.

Nws yog qhov tsim nyog los yaug koj lub qhov ncauj tom qab txhua pluas noj. Koj tuaj yeem siv dej qab zib ntawm tshuaj ntsuab (chamomile, calendula, sage). Yog tias tus neeg mob ntshav qab zib muaj hniav cuav, lawv yuav tsum tau muab ntxuav kom huv nrog tshuaj tua kab mob.

Nws yog ib qho tseem ceeb uas yuav tau soj ntsuam qhov huv ntawm qhov ncauj ntawm qhov ncauj, vim tias mob me tuaj yeem tawm tsam. Tsis tu ncua soj ntsuam thiab kho mob raws sijhawm.

Hniav ntshav qab zib: cov kab mob tshwj xeeb, kev saib xyuas thiab kev tiv thaiv

Mob ntshav qab zib mellitus, raws li cov kab mob muaj zog, cuam tshuam rau tag nrho lub cev thiab nws cov metabolism. Nws daim duab txhaj tshuaj yog tag nrho ntawm cov tsos mob thiab tus mob syndromes. Lub qhov ncauj ntawm qhov ncauj tsis yog qhov tshwj tsis yog - kws kho hniav ua hauj lwm teb. Nws tsis yog qhov tsawg tshaj plaws uas tus kws kho hniav yog thawj zaug los kuaj ntshav qab zib hauv tus neeg mob los ntawm nws qhov kev tshwm sim hauv qhov ncauj.Cov hniav ntshav qab zib hom 2 yuav tuaj yeem lwj thiab poob ua ntej yuav kuaj pom tus kab mob.

Qhov ncauj kab noj hniav hauv cov ntshav qab zib mellitus ntawm ib yam twg muaj qhov tshwj xeeb, tshwj xeeb vim yog cov yam ntxwv tshwm sim thiab cov tsos mob uas nrog tus kab mob no. Cov no suav nrog: mob ncig, mob txeeb zig ntawm fab ntawm lub qhov ncauj, mob ntawm cov leeg ntawm lub qhov ncauj thiab tus nplaig, xerostomia, hyposalivation thiab ntau yam kev hloov ntawm cov hniav.

Ntev tus kab mob thiab ncig

Cov no yog ob yam kabmob zoo sib xws uas cov kabmob ncig ua ke hloov pauv pathologically (tag nrho cov ntaub so ntswg ib ncig ntawm tus hniav uas tuav nws hauv lub qhov). Hauv cov ntawv nyeem niaj hnub, cov lus hais ua ntu zus feem ntau siv. Kev nquag muaj mob tas li hauv cov neeg mob ntshav qab zib yog li ntawm 50 txog 90%.

Periodontitis yuav pib mob ntawm cov pos hniav. Cov tsos mob thaum ntxov: zoo nkaus li o ntawm cov pos hniav, nce ntxiv hauv lawv qhov kub rhiab. Tom qab, cov pos hniav los ntshav, tso hniav.

Nrog rau ntshav qab zib, cov pos hniav tau tsaus xim liab, thaum muaj cov cim ntawm cyanosis. Lub papillae nruab nrab ntawm cov hniav swell thiab los ntshav ntawm lub voos me ntsis. Lub gingiva exfoliates, ua cov kab ntsig ncig. Lawv pib fester, thiab tom qab ntawd ces daim ntawv voos.

Cov hniav ua txawb. Nrog rau kev ua nruj ntawm cov kab mob, cov hniav txav thiab tig ib ncig ntawm nws lub axis. Qhov no ua rau muaj kev tsim txom hauv cov xwm txheej hauv lub qhov ncauj kab noj hniav. Ntawm ntshav qab zib, nws yog yam ntxwv ua kom tus hniav ntog tawm.

Stomatitis thiab glossitis

Vim tias lub cev hauv zej zog tsis muaj kev tiv thaiv kab mob, mob rau sab hauv feem ntau sab hauv lub puab sab plhu, daim di ncauj, tawv ncauj, pos hniav. Qhov no yog stomatitis. Lwm qhov yam ntxwv ntawm ntshav qab zib yog hloov pauv ntawm hom lus. Glossitis yog ib qho mob ntawm tus nplaig. Hauv cov neeg mob ntshav qab zib, tus nplaig yuav ntxhib, mob txhab rau hauv daim ntawv ntawm daim duab qhia thaj chaw (thaj chaw hais lus). Feem ntau tus nplaig npog nrog nrog pleev xim dawb.

Kuj tseem muaj "varnished" lus. Qhov nplaig ntawm tus nplaig yog qhov tshwm sim ntawm atrophy ntawm ib hom papillae ntawm tus nplaig thiab hypertrophy ntawm lwm hom.

Xerostomia thiab hyposalivation

Hauv Latin, xerostomia txhais tau tias "lub qhov ncauj qhuav". Ntawm hom 1 thiab ntshav qab zib hom 2, ib ntawm thawj qhov kev tshawb pom tshwm sim yog nqhis dej thiab qhov ncauj qhuav. Hyposalivation, lossis txo qis ntawm cov qaub ncaug tsis pub dhau, yog cuam tshuam nrog kev puas tsuaj rau cov qog ua kua qaub ncaug. Lawv nce hauv qhov loj me, pib mob. Tus mob no tseem hu ua "pseudo-parotitis."

Hloov hniav

Txawm nyob hauv cov mineralized thiab cov hniav tawv metabolism tshwm sim. Kev hloov pauv zom zaub mov vim yog hom 1 thiab ntshav qab zib hom 2 cuam tshuam tsis tsuas yog lub qhov ncauj ntawm lub qhov ncauj, tab sis kuj tseem ntawm cov hniav.

Lub cev muaj cov khoom tiv thaiv cov kab mob caries: tshuaj lom neeg muaj pes tsawg leeg ntawm txha hniav laus, nws lub cev tsis tuaj yeem, cov qaub ncaug, cov kab mob muaj txiaj ntsig uas nyob hauv lub qhov ncauj.

Nrog rau kev hloov pauv hauv cov dej hauv lub qhov ncauj hauv cov ntshav qab zib, qhov kev pheej hmoo ntawm caries yuav nce ntxiv. Glucose tshwm sim hauv cov qaub ncaug, uas yog "pub" rau cov kab mob cariogenic. Cov kab mob sib kis tau nce ntau, hloov pH ntawm cov qaub ncaug, uas ua rau kev puas tsuaj ntawm txha hniav laus - ib qho tom qab dhau los, kev tiv thaiv anticariogenic yam nyob hauv kev ntxhov siab. Ua ntej, ib qho dawb matte pom tshwm rau ntawm tus hniav, qhov tshwm sim ntawm qhov uas yog kab noj hniav hauv hniav ntawm cov xim tsaus. Cov no yog puas txha hniav laus thiab txhab hniav.

Kev loj hlob ntawm caries thiab periodontitis xaus nrog kev kho pob qij txha.

Nrog rau cov ntshav qab zib, tus neeg mob tuaj yeem muab cov hniav cog hniav. Ntshav qab zib tsis yog qhov sib txuam rau txoj kev cuam tshuam no.

Cov neeg muaj ntshav qab zib feem ntau dua li lwm tus muaj qhov tsis txaus hypoplasia ntawm cov hniav, qaug zog, thiab nce pob txha.

Hypoplasia ntawm cov hniav yog qhov txawv txav ntawm lub microstructure ntawm tus hniav. Cov kab mob no muaj ntau hom, qee qhov zoo sib xws hauv qhov zoo li caries.
Hnov inhibition feem ntau tshwm sim rau cov menyuam yaus uas muaj ntshav qab zib hom 1. Ib txoj hauv kev ntawm txoj kev kho kom haum yuav pab tau rau ntawm no.
Kev ua kom ntau ntxiv ua rau pom tias tsis muaj kev txhim kho ntawm cov hniav. Tus mob no yog nrog los ntawm fragility ntawm cov hniav, uas sai sai ua rau lawv cov abrasion. Rau tib qho laj thawj hauv ntshav qab zib - lub caj dab ntawm cov hniav ua hypersensitive.

Kev saib xyuas qhov ncauj

Kev saib xyuas kom zoo yuav pab zam ntau yam teeb meem uas tau hais los saud.

Them nyiaj thiab sijhawm rau kev nyiam huv. Mob ntshav qab zib cov hniav yuav tsum tau txhuam peb zaug ib hnub tom qab noj mov.
Siv cov khoom tu cev huv si ntxiv: Kev siv hlua dig hniav, yaug pab thiab zom cov pos hniav. Kev yaug qhov ncauj yog ib qho txheej txheem tseem ceeb heev rau cov ntshav qab zib.
Yog tias koj muaj hniav cuav, saib xyuas lawv kom zoo. Lawv yuav tsum tau ntxuav thiab txhuam hniav.

Tiv Thaiv Kab Mob

Cov tshuaj niaj hnub nyiam tiv thaiv kab mob, ntau dua li kho lawv. Tsis yog txhua tus kws phais yuav ua lub ntsej muag txha hniav tawm rau ntshav qab zib, vim hais tias cov neeg mob zoo li no muaj kev pheej hmoo txaus ntshai, suav nrog qhov ua kom tsis nco qab.

Nws yog ib qho tsim nyog yuav tsum tau soj ntsuam cov ntshav qab zib tas li, ntxiv rau kev ua raws kev noj haus thiab kev kho mob insulin.
Nrog ntshav qab zib, kev kho hniav yuav tsum tsis txhob ncua. Caries thiab periodontitis hlob sai nrog tus kab mob no.
Hloov cov piam thaj thaum ua noj nrog cov khoom qab zib, xws li aspartame. Qhov no yuav tsis tsuas yog pab tswj ntshav qab zib cov ntshav, tab sis kuj tseem txo qhov kev pheej hmoo ntawm hniav lwj.
Tsis txhob hla kev kuaj mob tiv thaiv ntawm tus kws kho hniav. Koj yuav tsum tau mus ntsib kws kho mob tsawg kawg 2 zaug hauv ib xyoos.
Muab lub cev ua haujlwm kom tsim nyog. Nws nce ntxiv tag nrho kev tiv thaiv ntawm lub cev, uas txhais tau tias nws tiv thaiv kab mob.

Tsuas yog qhov kev saib xyuas zoo thiab kho tau raws sijhawm yuav pab koj cov hniav kom hnub nyoog laus.

Hloov hauv nruab nrog cev thiab cov nqaij ntawm lub qhov ncauj kab noj hniav hauv ntshav qab zib.

Hloov hauv nruab nrog cev thiab cov nqaij ntawm lub qhov ncauj kab noj hniav hauv ntshav qab zib. - ntu Kev Kawm, Kev Kawm Txog Nephrology, endocrinology, hematology D.I. Trukhan, I.A. Viktorova Cov neeg mob ntshav qab zib mellitus Cov yam ntxwv los ntawm qhov ncaj qha ncaj qha ntawm qhov mob hnyav.

Hauv cov neeg mob uas mob ntshav qab zib mellitus, kev cia siab ncaj qha rau ntawm qhov mob hnyav hloov pauv ntawm lub qhov ncauj ntawm qhov ncauj ntawm lub sijhawm, muaj cov teeb meem tshwm sim thiab tus neeg mob lub hnub nyoog yog tus yam ntxwv. Ib qho ntawm cov tsos mob thaum ntxov ntawm tus kab mob yog qhov ncauj qhuav thiab hyposalivation.

Cov nruab nrog cev thiab cov nqaij ntawm lub qhov ncauj kab noj hniav hauv cov neeg mob ntshav qab zib mellitus yog nyob rau hauv qhov muaj cov teeb meem xwm yeem, vim tias cov piam thaj hauv cov kua hauv qhov ncauj ntau dua.

Lub qhov ncauj ntawm qhov ncauj yog hyperemic, ci, yuag. Tus nplaig feem ntau tau them nrog ib txheej xim dawb, ntxhib, nrog rau kev sib dhos, qee zaum nrog thaj chaw hyperkeratosis. Cov kab mob ua rau lub cev nceb thiab tawm pob qa ntawm tus nplaig, muaj xim liab rau xim daj (“tus nplaig liab”).

Xanthomatosis ntawm lub qhov ncauj mucosa muaj peev xwm: muaj ntau cov pob khaus khaus ntawm lub txiv kab ntxwv-daj xim xws li los ntawm ib tus pinhead rau taum, nyob subepithelially thiab tiv thaiv sab saud saum npoo, nrog tuab-elastic sib xws.

Cov tsos mob ntawm dyskeratosis yog tshwm sim hauv daim ntawv ntawm leukoplakia: thaum xub thawj npub thiab waxy tsos ntawm cov hnoos qeev, tom qab ntawd cov quav hniav tshwm, nrawm nrawm nrog qhov tsim ntawm warty kev loj hlob, tawg thiab mob rau.

Catarrhal stomatitis thiab glossitis feem ntau tshwm sim los ntawm qhov tsis muaj zog me me thiab lwm yam kev kis mob ntawm cov leeg ntawm lub plab.

Cov yam ntxwv ntawm tus mob gingivitis nyob rau hauv cov ntshav qab zib muaj xws li hyperemia, edema, zoo li lub ntsej muag ntawm lub gingival papillae, ib qho nyiam ua rau gingival necrosis tau sau tseg. Hauv qhov kev tshawb fawb tau ua nyob rau hauv Lub Tsev Haujlwm Saib Xyuas Kev Kho Mob ntawm Omsk State Medical Academy, peb tau sau tseg tias nyob hauv cov neeg mob ntshav qab zib hom I, tus nqi ntawm PMA qhov ntsuas yog nyob ntawm lub hnub nyoog ntawm cov neeg mob, lub sijhawm tiv thaiv tus kab mob, thiab muaj cov kab mob ntshav qab zib microangiopathy.

Rau cov ntshav qab zib mellitus, kev txhim kho ntawm cov kab mob ua ntu zus mus ntev, nrog rau cov hniav zoo thiab muaj kev tiv thaiv kom zoo tuaj ntawm lub hnab tsho ncig, yog tus yam ntxwv.

Nrog cov nyiaj them tsis txaus rau cov ntshav qab zib, cov tawv nqaij ua paug ntawm lub qhov ncauj qhov ntswg feem ntau tau sau tseg - mob pseudomembranous candidiasis, mob voos thiab mob vwm atrophic candidiasis, mob siab daj ntseg. Angular fungal cheilitis (mycotic seizure) yog tus cwj pwm los ntawm thinning ntawm liab ciam ntawm daim di ncauj thiab khaus hyperemia ntawm thaj chaw Klein, infiltrated, ntev-ntev kab nrib pleb ntawm cov ces kaum ntawm lub qhov ncauj.

Atrophic hloov tau pom nyob hauv cov qog ua kua qaub ncaug. Hauv 43.3% ntawm cov neeg kuaj mob uas muaj tus mob ntshav qab zib hom I, peb tau kuaj cov tshuaj tiv thaiv kab mob rau cov nqaij mos antigen ntawm parotid salivary qog.

Muaj ntshav qab zib, ci ntsa iab, pluaj plab, thiab nce rhiab ntawm cov hniav hauv caj dab yog feem ntau sau tseg. Mononeuropathy ntawm trigeminal hlab ntsha (V khub) thiab lub ntsej muag lub ntsej muag (VII khub) yog qhov kev mob ntshav qab zib polyneuropathy.

Cov ntaub ntawv hais txog hniav lwj muaj qhov sib txawv. Thaum kawm txog qhov muaj pes tsawg leeg thiab cov yam ntxwv ntawm cov kua hauv qhov ncauj, peb tau sau tseg tias hauv lub qhov ncauj kab noj hniav yog qhov sib npaug ntawm cov txheej txheem ntawm de- thiab kev kho kom zoo yog cuam tshuam. Cov txheej txheem demineralization tshwm sim los ntawm kev txo qis ntawm kev ua kom muaj dej qab ntsev thiab pH ntawm lub qhov ncauj ntawm qhov ncauj, qhov nce ntawm qhov txo qis thiab nws txoj kev siv thiab demineralizing kev ua si, thiab nce siab ntxiv nyob rau hauv cov piam thaj. Cov kev hloov pauv hauv cov muaj pes tsawg leeg thiab cov yam ntxwv ntawm cov kua hauv qhov ncauj hauv cov neeg mob uas muaj tus mob ntshav qab zib hom mob ntshav qab zib ua rau kuv muaj kev cia siab nrog kev soj ntsuam ntawm chav kawm ntawm tus kab mob. Yog li, kev kho mob txaus rau ntshav qab zib yuav tsum raug suav hais tias yog qhov kev tiv thaiv nyob rau hauv kev txhim kho ntawm cov txheej txheem carious.